Individual provider Active NPI

Logan Hawkins McCuen

  • Family Nurse Practitioner
  • Mauldin, SC
National Provider Identifier
1508621657
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29211 Issued in SC
Practice address
300 W Butler Rd
Mauldin, SC 29662-2585
Phone
(864) 277-8300
Fax
(864) 288-8722
NPI assigned
Feb 19, 2024
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 29211 SC Primary

Addresses

Primary practice location

300 W Butler Rd
Mauldin, SC 29662-2585

Mailing address

300 W Butler Rd
Mauldin, SC 29662-2585
Phone (864) 277-8300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000204 SC Practitioner - Nurse Practitioner 9739696477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannon Memorial HospitalGroup PAC ID 8123930666, shared by 4 NPIs, 30 clinicians
Palmetto Internal Medicine and Primary Care, PAGroup PAC ID 7719168723, 6 clinicians

Practice addresses (Care Compare)

105 Liberty Blvd
Liberty, SC 29657-1641
Phone (864) 843-9213

111 W Roper Rd
Easley, SC 29640-8805
Phone (864) 897-8280

300 W Butler Rd
Mauldin, SC 29662-2585
Phone (864) 277-8300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Internal Medicine & Primary Care, PA CurrentSince Aug 1, 2025 Accepting new patients
Cannon Memorial Hospital CurrentSince Jan 12, 2026 Accepting new patients
Cannon Memorial Hospital CurrentSince Jan 12, 2026 Accepting new patients
Cannon Memorial Hospital CurrentSince Jan 12, 2026 Accepting new patients
Anmed Health Past Accepting new patients

Locations

111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280

105 Liberty Blvd
Liberty, SC 29657
Phone (800) 825-6688

300 W Butler Rd
Mauldin, SC 29662
Phone (864) 277-8300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1508621657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622585",
            "telephone_number": "864-277-8300",
            "fax_number": "864-288-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622585",
            "telephone_number": "864-277-8300",
            "fax_number": "864-288-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUEN",
        "first_name": "LOGAN",
        "middle_name": "HAWKINS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.