McLeod Regional Medical Center of the Pee Dee Inc

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC

Doing business as

McLeod Behavioral Health Services

Practice address

701 Cashua Ferry Rd
Darlington, SC 29532-8488

Phone

(843) 777-4402

Fax

(843) 777-5249

NPI assigned

Nov 14, 2005

Organization subpart

Yes

Parent organization

MCLEOD HEALTHAs reported in NPPES

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

Addresses

Other identifiers 3

Other names 1

• McLeod Behavioral Health Services Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alkesh Bhupendra Gajjar, MD

  • Psychiatry Physician
  • Bennettsville, SC
  • NPI 1841506227
  NPD (past)
• Nikunjkumar Trambaklal Modi, MD

  • Psychiatry Physician
  • Florence, SC
  • NPI 1003131343
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1801878103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100567",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010567",
            "telephone_number": "843-777-4402",
            "fax_number": "843-777-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CASHUA FERRY RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295328488",
            "telephone_number": "843-777-4402",
            "fax_number": "843-777-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2005-11-14",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334441",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "42-S051",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459938",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLeod Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia McKnight, APRN
• McLeod Health Cheraw (McLeod Family Medicine - Darlington)
• McLeod Physician Associates II (McLeod Urgent Care Center - Darlington)
• McLeod Physician Associates II (McLeod Psychiatric Associates)
• McLeod Physician Associates II (McLeod Family Medicine-Darlington)
• McLeod Regional Medical Center of the Pee Dee, Inc (McLeod Medical Center - Darlington)
• McLeod Regional Medical Center of the Pee Dee, Inc (McLeod Behavioral Health)
• McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Family Medicine - Darlington)
• McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Medical Center - Darlington)
• Sentrella McPhail

• Psychiatric Hospital Unit in Darlington, SC
• Providers in Darlington, SC by specialty
• Psychiatric Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.