Individual provider Active NPI

Robert Craig McClelland, M.D.

  • Obstetrics & Gynecology Physician
  • Rock Hill, SC
National Provider Identifier
1669449070
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21488 Issued in SC
Practice address
1721 Ebenezer Rd
Suite 145
Rock Hill, SC 29732-4103
Phone
(803) 328-2401
Fax
(803) 328-1030
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21488 SC Primary

Addresses

Primary practice location

1721 Ebenezer Rd
Suite 145
Rock Hill, SC 29732-4103

Mailing address

1721 Ebenezer Rd
Suite 145
Rock Hill, SC 29732-4103
Phone (803) 328-2401

Other identifiers 1

IdentifierTypeStateIssuer
214887MedicaidSC

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
I20111021000041 SC Practitioner - Obstetrics/Gynecology 1052583838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Rock Hill, SC 29732-1119

200 Herlong Ave S
Rock Hill, SC 29732-1182

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 324-1950

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

986 Wellness Way
Suite 240
Fort Mill, SC 29715-7352
Phone (803) 232-9232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21488SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Obstetrics & Gynecology CurrentSince Oct 23, 2017 Accepting new patients

Locations

1666 Highway 160 W
Fort Mill, SC 29708
Phone (803) 548-2247

986 Wellness Way
Ste 350
Fort Mill, SC 29715
Phone (803) 274-1050

1721 Ebenezer Rd
Ste 145
Rock Hill, SC 29732
Phone (803) 328-2401

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

1795 Devinney Rd
York, SC 29745
Phone (803) 335-0780

Interoperability endpoints

  • Direct secure messaging: robert.mcclelland.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 1

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 1

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1669449070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 145",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-328-2401",
            "fax_number": "803-328-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD",
            "address_2": "SUITE 145",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297324103",
            "telephone_number": "803-328-2401",
            "fax_number": "803-328-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "ROBERT",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "21488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214887",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.