NPIMap

Organization Active NPI

McLeod Physician Associates II

Doing business as McLeod Primary Care Sunset Beach

  • Family Medicine Physician
  • Sunset Beach, NC
National Provider Identifier
1548537665
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Doing business as
McLeod Primary Care Sunset Beach
Practice address
690 Sunset Blvd. North
Suite 109
Sunset Beach, NC 28468-4337
Phone
(910) 575-8488
Fax
(910) 575-6542
NPI assigned
Nov 17, 2011
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Kenneth D. Beasley
Title
Senior Vice President
Phone
(843) 777-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NC Primary

Addresses

Primary practice location

690 Sunset Blvd. North
Suite 109
Sunset Beach, NC 28468-4337

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 366-3729

Other names 1

  • McLeod Primary Care Sunset Beach Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2010039McLeod Primary Care Sunset Beach690 Sunset Boulevard North, Suite 208, Sunset Beach, NC 28468Certificate of waiverJul 19, 2026

National Provider Directory

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

Organizations with this tax ID in the same state 8

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

Locations

690 Sunset Blvd N
Ste 109
Sunset Beach, NC 28468
Phone (843) 390-0100

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1548537665",
    "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": "843-366-3729",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SUNSET BLVD. NORTH",
            "address_2": "SUITE 109",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684337",
            "telephone_number": "910-575-8488",
            "fax_number": "910-575-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2011-11-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Primary Care Sunset Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod Primary Care Sunset Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunset Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.