Carl S T Li, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15148 Issued in SC

Practice address

110 Doctors Dr
Suite a-3
Cheraw, SC 29520-7112

Phone

(843) 537-1141

Fax

(843) 537-8104

NPI assigned

Sep 29, 2005

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• McLeod Family Medicine PA

  • Family Medicine Physician
  • Cheraw, SC
  • NPI 1407182371
  NPD (past)
• McLeod Family Medicine PA

  • Family Medicine Physician
  • Cheraw, SC
  • NPI 1558745364
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1770570483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1124",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295201124",
            "telephone_number": "843-537-1141",
            "fax_number": "843-537-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DOCTORS DR",
            "address_2": "SUITE A-3",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207112",
            "telephone_number": "843-537-1141",
            "fax_number": "843-537-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CARL",
        "middle_name": "S T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151481",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Kemmerlin, RPH
• Darran Mahendra Khublall, MD
• Cody Lee Kidd, DO
• Roachel William Laney, D.M.D
• Ryan Lapointe
• Liberty Commons of Cheraw, LLC (Cheraw Healthcare)
• Lifeguard Ambulance Service LLC (Lifeguard Emergency Medical Services)
• Lifehouse Dental and Wellness
• Agostina Liotta
• Brittney Inci Little

• Family Medicine Physician in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.