Individual provider Active NPI

Maureen C. Byrd

  • Family Nurse Practitioner
  • Florence, SC
National Provider Identifier
1548644560
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19629 Issued in SC
Practice address
800 E Cheves St Ste 260
Florence, SC 29506-2652
Phone
(843) 665-7941
Fax
(843) 665-1257
NPI assigned
Jul 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19629 SC Primary

Addresses

Primary practice location

800 E Cheves St Ste 260
Florence, SC 29506-2652

Mailing address

800 E Cheves St Ste 260
Florence, SC 29506-2652
Phone (843) 665-7941

Other identifiers 1

IdentifierTypeStateIssuer
NP3341MedicaidSC

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
I20150930001128 SC Practitioner - Nurse Practitioner 3173831807 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Aug 1, 2016 Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients

Locations

401 E Cheves St
Ste 201
Florence, SC 29506
Phone (843) 777-7951

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Interoperability endpoints

  • Direct secure messaging: mbyrd21164@directmcleodehealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1548644560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 260",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062652",
            "telephone_number": "843-665-7941",
            "fax_number": "843-665-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 260",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062652",
            "telephone_number": "843-665-7941",
            "fax_number": "843-665-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MAUREEN",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3341",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.