Individual provider Active NPI

Leigh Ann G. Harrigan, PA-C

  • Physician Assistant
  • Hartsville, SC
National Provider Identifier
1730622283
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2625 Issued in SC
Practice address
1319 South 4TH Avenue
Hartsville, SC 29550
Phone
(843) 777-7900
Fax
(843) 777-7925
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2625 SC
Physician Assistant 363A00000X 2625 SC Primary

Addresses

Primary practice location

1319 South 4TH Avenue
Hartsville, SC 29550

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other practice location 1

101 Johns St
Suite 100
Florence, SC 29506-2777
Phone (843) 662-5233

Other practice location 2

1005 E Cheves St
Florence, SC 29506-2707
Phone (843) 777-7900

Other practice location 3

101 Johns St
Suite 100
Florence, SC 29506-2777
Phone (843) 662-5233

Other identifiers 2

IdentifierTypeStateIssuer
300036285MedicaidIN
2829AMedicaidSC

Other names 1

  • Leigh Ann G. Lutz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lharrigan1049457@DirectC.mercy.net Direct

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
I20170327001939 SC Practitioner - Physician Assistant 4789969155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

1319 S 4TH St
Hartsville, SC 29550-7458
Phone (843) 567-1891

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
  • McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2625SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Aug 1, 2023 Accepting new patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital PastSince Sep 1, 2020 Accepting new patients
McLeod Physician Associates II Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

1005 E Cheves St
Florence, SC 29506
Phone (843) 777-7900

506 E Cheves St
#202
Florence, SC 29506

1005 E Cheves St
Fl 2
Florence, SC 29506

Interoperability endpoints

  • Direct secure messaging: lharrigan85150@directmcleodehealth.org
  • Direct secure messaging: lharrigan1049457@directc.mercy.net

Organizations & group practices 6

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 3

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1730622283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SOUTH 4TH AVENUE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-777-7900",
            "fax_number": "843-777-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Johns St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062777",
            "country_code": "US",
            "telephone_number": "843-662-5233",
            "fax_number": "843-678-9003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062707",
            "country_code": "US",
            "telephone_number": "843-777-7900",
            "fax_number": "843-777-7925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Johns St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062777",
            "country_code": "US",
            "telephone_number": "843-662-5233",
            "fax_number": "843-678-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "LEIGH ANN",
        "middle_name": "G.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "2625",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300036285",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2829A",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lharrigan1049457@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17600 Shamrock Blvd Ste 400A",
            "city": "Westfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460747002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEIGH ANN",
            "last_name": "LUTZ",
            "middle_name": "G.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.