NPIMap

Organization Active NPI

McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1801990494
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Practice address
506 E Cheves St
Ste 202
Florence, SC 29506-2616
Phone
(843) 777-7000
Fax
(843) 777-7005
NPI assigned
Sep 12, 2006
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Mr. Ken Beasley
Title
Sr VP
Phone
(843) 777-7000

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Diabetes Educator Registered Nurse 163WD0400X 23029 SC
Anesthesiology Physician 207L00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X 10392 SC
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU

Addresses

Primary practice location

506 E Cheves St
Ste 202
Florence, SC 29506-2616

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060926000568 SC Part B Supplier - Clinic/Group Practice 8224031307 Receives reassigned benefits from 924 practitioners
4 other NPIs on this enrollment
O20120327000662 NC Part B Supplier - Clinic/Group Practice 8224031307 Receives reassigned benefits from 14 practitioners
Practice locations: Laurinburg, NC; Sunset Beach, NC; Tabor City, NC

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

690 Sunset Blvd N
Ste 208
Sunset Beach, NC 28468
Phone (910) 575-8488

705 N 8th Ave
Ste 1A
Dillon, SC 29536
Phone (803) 774-2478

705 N 8th Ave
Ste 3A
Dillon, SC 29536
Phone (843) 774-6091

101 William H Johnson St
Ste 500
Florence, SC 29506
Phone (843) 777-7400

3013B W Palmetto St
Florence, SC 29501
Phone (843) 777-9340

401 E Cheves St
Ste 302
Florence, SC 29506
Phone (843) 777-7255

3793 McDowell Ln
Ste 100
Little River, SC 29566
Phone (843) 390-0100

3980 Highway 9 E
Ste 200
Little River, SC 29566
Phone (843) 390-0100

3980 Highway 9 E
Ste 220
Little River, SC 29566
Phone (843) 390-0877

3980 Highway 9 E
Ste 310
Little River, SC 29566
Phone (843) 390-8100

3980 Highway 9 E
Ste 320
Little River, SC 29566
Phone (843) 366-3715

4237 River Hills Dr
Ste 107
Little River, SC 29566
Phone (843) 366-3030

3617 Casey St
Loris, SC 29569
Phone (843) 756-2700

200 E Hospital St
Manning, SC 29102
Phone (803) 433-0439

108 Finnegan Ct
Myrtle Beach, SC 29579
Phone (843) 903-9993

170 Village Center Blvd
Myrtle Beach, SC 29579
Phone (843) 449-5848

Practitioners & affiliated clinicians

Practitioners 934

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 934

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1801990494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-777-7000",
            "fax_number": "843-777-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E CHEVES ST",
            "address_2": "STE 202",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062616",
            "telephone_number": "843-777-7000",
            "fax_number": "843-777-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2006-09-12",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "843-777-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "23029",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "10392",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.