NPIMap

Individual provider Active NPI

Paul Vincent Demarco, MD

  • Internal Medicine Physician
  • Florence, SC
National Provider Identifier
1568480671
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16588 Issued in SC
Practice address
121 S Evander Dr
Florence, SC 29506-4212
Phone
(843) 432-2935
Fax
(843) 799-4297
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16588 SC Primary

Addresses

Primary practice location

121 S Evander Dr
Florence, SC 29506-4212

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other identifiers 1

IdentifierTypeStateIssuer
TL7222MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000381 SC Practitioner - Internal Medicine 8224139605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

121 S Evander Dr
Florence, SC 29506-4212
Phone (843) 432-2935

Hospital & facility affiliations

  • Musc Health at Home by Bayada-Conway Home health agency, Conway, SC, CCN 427135
  • McLeod HCS - Hospice of the Pee Dee Hospice, Florence, SC, CCN 421516
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16588SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc Current Accepting new patients
Hopehealth Inc CurrentSince Sep 22, 2011 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 22, 2010 Accepting new patients
Hopehealth, Inc. CurrentSince Sep 22, 2011 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Dec 22, 2010 Accepting new patients

Locations

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

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

121 S Evander Dr
Florence, SC 29506
Phone (843) 432-2935

Interoperability endpoints

  • Direct secure messaging: paul.demarco@hop.eclinicaldirectplus.com
  • Direct secure messaging: pdemarco21756@directmcleodehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1568480671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S EVANDER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295064212",
            "telephone_number": "843-432-2935",
            "fax_number": "843-799-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "PAUL",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL7222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.