NPIMap

Organization Active NPI

McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
National Provider Identifier
1699756221
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL-384 Issued in SC
Legal business name
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.
Practice address
555 E Cheves St
Florence, SC 29506-2617
Phone
(843) 777-4402
Fax
(843) 777-5249
NPI assigned
Nov 10, 2005
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Samuel Fulton Ervin III
Title
Sr VP and Cfo
Phone
(843) 777-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X HTL-384 SC Primary

Addresses

Primary practice location

555 E Cheves St
Florence, SC 29506-2617

Mailing address

PO Box 601743
Charlotte, NC 28260-1743
Phone (843) 777-2000

Other practice location 1

3781 McDowell Ln
Little River, SC 29566-8930
Phone (843) 366-2012

Other identifiers 7

IdentifierTypeStateIssuer
4200051MedicaidNC
459938MedicaidSC
MCL0051NMedicaidAL
334441MedicaidSC
094184100MedicaidFL
4210301MedicaidNJ
000106202AMedicaidGA

Other names 1

  • McLeod Regional Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000360 SC Part A Provider - Hospital 7416851852

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699756221. Details of each certification follow.

Hospital certification: CCN 420051

Legal name
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 29, 2019
Beds
461
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1930 in SC
Enrollment address
555 East Cheves St
Florence, SC 29506-2617
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Children’s

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
McLeod Regional Medical Center-Pee DeeCCN 420051 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
42D0251606McLeod Regional Med Center Laboratory555 E Cheves St, Florence, SC 29506AccreditationMar 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
McLeod Regional Med Lab39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

801 E Cheves St
Florence, SC 29506
Phone (843) 777-7035

3781 McDowell Ln
Little River, SC 29566
Phone (843) 366-2012

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Willie E Boyd Individual Corporate OfficerBoard of Trustees Feb 1, 2012
Frances S Jones Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Ashley Brady Individual Corporate OfficerBoard of Trustees Jan 1, 2018
William N Boulware Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Allie E Brooks Individual Corporate OfficerBoard of Trustees Feb 1, 2019
Shelia Rollins Individual W-2 Managing EmployeeNet Revenue Manager Jan 1, 2025
Benjamin T Zeigler Individual Corporate OfficerChair Dec 1, 2009
Christian Soura Individual Corporate OfficerSenior VP and Cfo Apr 1, 2025
Ronald M Fowler Individual Corporate OfficerBoard of Trustees Jan 1, 2012
Dudley B. Harrington Individual Corporate OfficerVP of Business Operatio Oct 31, 2016 100%
Virginia L Clyburn-Ipock Individual Corporate OfficerBoard of Trustees Jun 1, 2021
Jeannette Glenn Individual Corporate OfficerBoard of Trustees Jan 1, 2018
McLeod Health Organization, Florence, SC 5% Or Greater Direct Ownership Interest Oct 15, 2007
Samuel F Ervin Individual Corporate DirectorSenior Vice President & Chief Finan Feb 18, 2007
Cameron Coker Individual W-2 Managing EmployeeVP of Operations Jul 15, 2024
Kenneth Beasley Individual W-2 Managing EmployeeSenior Vice President Jul 15, 2024
Raymond Clark Individual Corporate OfficerBoard of Trustees Sep 1, 2016
Hugh S Blair Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Mary Anderson Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Tracy Ray Individual Corporate OfficerBoard of Trustees Jan 1, 2012
Donna Isgett Individual Corporate OfficerPresident and Ceo Mar 1, 2021
Tarek M Bishara Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Beverly Hazelwood Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Amy Fisher Individual Corporate OfficerBoard of Trustees Jun 1, 2021
Judy S Bibbo Individual W-2 Managing EmployeeVP of Patient Services Sep 25, 2017 100%
Amit Vyankatesh Pande Individual Corporate OfficerBoard of Trustees Jun 1, 2021
Frank V Boulineau Individual Corporate OfficerBoard of Trustees Jan 1, 2012
Patrick Kerry Denton Individual Corporate OfficerBoard of Trustees Jan 1, 2018
Frank J Brand Individual Corporate OfficerVice Chair Jan 1, 2018
James C Smith Individual Corporate OfficerBoard of Trustees Feb 1, 2019
Carl J Chelen Individual Corporate OfficerChief of Staff Jan 1, 2022
John R Braddy Individual Corporate OfficerBoard of Trustees Jan 1, 2007

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of the Pee DeeFlorence, SC, CCN 421516 Hospice 5% Or Greater Direct Ownership Interest Jul 3, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 115

Affiliated clinicians 1,057

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,057

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1699756221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601743",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601743",
            "telephone_number": "843-777-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-777-4402",
            "fax_number": "843-777-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3781 McDowell Ln",
            "address_purpose": "LOCATION",
            "city": "Little River",
            "state": "SC",
            "postal_code": "295668930",
            "country_code": "US",
            "telephone_number": "843-366-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "843-777-2910",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL-384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200051",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459938",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MCL0051N",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334441",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094184100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4210301",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000106202A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Regional Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "McLeod Regional Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.