NPIMap

Organization Active NPI

McLeod Physician Associates II

Doing business as McLeod Pediatrics Bennettsville

  • Rural Health Clinic/Center
  • Bennettsville, SC
National Provider Identifier
1508377284
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Doing business as
McLeod Pediatrics Bennettsville
Practice address
1076 Marlboro Way Ste 3
Bennettsville, SC 29512-2495
Phone
(843) 479-0432
NPI assigned
Oct 20, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD PHYSICIAN ASSOCIATES IIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Fulton Ervin III
Title
Senior VP and Cfo
Phone
(843) 777-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1076 Marlboro Way Ste 3
Bennettsville, SC 29512-2495

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7162

Other practice location 1

1076 Marlboro Way Ste 3
Bennettsville, SC 29512-2495
Phone (843) 479-0483

Other names 1

  • McLeod Pediatrics Bennettsville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates138 organizations share this tax ID, including this one
Part of
McLeod Physician Associates

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1508377284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 MARLBORO WAY STE 3",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122495",
            "telephone_number": "843-479-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 Marlboro Way Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bennettsville",
            "state": "SC",
            "postal_code": "295122495",
            "country_code": "US",
            "telephone_number": "843-479-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "SENIOR VP AND CFO",
        "authorized_official_telephone_number": "843-777-2910",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Pediatrics Bennettsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.