Active NPI
Andrew J. McMarlin, D.O.
- Sports Medicine (Family Medicine) Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 1530
- Practice address
- 966 Houston Northcutt Blvd Ste E
Mount Pleasant, SC 29464-3487 - Phone
- (843) 471-0375
- NPI assigned
- Apr 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 1530 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 1530 | SC |
Addresses
Primary practice location
966 Houston Northcutt Blvd Ste E
Mount Pleasant, SC 29464-3487
Mailing address
966 Houston Northcutt Blvd Ste E
Mount Pleasant, SC 29464-3487
Phone (843) 471-0375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015307 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111227000195 | SC | Practitioner - Family Practice | 1951307636 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Colonial Family Practice LLCPalmetto Primary Care Physicians LLC
Practice addresses (Care Compare)
325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227
9313 Medical Plaza Dr
Suite 202
North Charleston, SC 29406-9176
Phone (843) 695-6071
Hospital & facility affiliations
- Trident Medical Center
- Ashley River Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1530 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Southcoast Physician Services Inc | Past | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Southcoast Physicians Group, Inc. | Family Medicine | Past | Accepting new patients |
Locations
9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200
9313 Medical Plaza Dr
Ste 310
North Charleston, SC 29406
Phone (843) 569-1856
2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
Family Medicine, SC
-
- Family Medicine Physician
- Charleston, SC
- NPI 1720029713
Family Medicine
-
- Sports Medicine (Family Medicine) Physician
- Sumter, SC
- NPI 1831435429
Family Medicine
-
- Family Medicine Physician
- Summerville, SC
- NPI 1265690382
Family Medicine
-
- Internal Medicine Physician
- Fall River, MA
- NPI 1104874874
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Family Medicine
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1497719355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 HOUSTON NORTHCUTT BLVD STE E",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643487",
"telephone_number": "843-471-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 HOUSTON NORTHCUTT BLVD STE E",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643487",
"telephone_number": "843-471-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMARLIN",
"first_name": "ANDREW",
"middle_name": "J.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-16",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "SC",
"license": "1530",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "1530",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015307",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.