Individual provider Active NPI

Danyel Bourgeois McEvoy, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • N Charleston, SC
National Provider Identifier
1629168679
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25287 Issued in SC
Practice address
4450 Leeds PL W Ste a
N Charleston, SC 29405-8405
Phone
(843) 763-2611
Fax
(843) 852-4099
NPI assigned
Oct 13, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25287 SC Primary

Addresses

Primary practice location

4450 Leeds PL W Ste a
N Charleston, SC 29405-8405

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
252871MedicaidSC

Other names 1

  • Tracie Danyel Bourgeois Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000004 SC Practitioner - Pathology 4688749823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Pathology PAGroup PAC ID 4789640673, 13 clinicians

Practice addresses (Care Compare)

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2260

4450 Leeds W PL
North Charleston, SC 29405-8405
Phone (843) 789-1620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25287SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Pathology PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Charleston Pathology PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Charleston Pathology PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Charleston Pathology, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2008 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Dec 1, 2016 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Dec 1, 2016 Accepting new patients
Charleston Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2008 Accepting new patients
Coastal Carolina Pathology, PA Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

4450 Leeds Pl W
North Charleston, SC 29405
Phone (843) 937-8101

4450 Leeds Pl W
Ste A
North Charleston, SC 29405
Phone (843) 763-2611

Organizations & group practices 10

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 4

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1629168679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 LEEDS PL W STE A",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058405",
            "telephone_number": "843-763-2611",
            "fax_number": "843-852-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "DANYEL",
        "middle_name": "BOURGEOIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "25287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252871",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "BOURGEOIS",
            "middle_name": "DANYEL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.