Organization Active NPI

McLeod Physician Associates II

  • Orthopaedic Surgery of the Spine Physician
  • Florence, SC
National Provider Identifier
1821545633
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Practice address
800 E Cheves St Ste 480-B
Florence, SC 29506-2650
Phone
(843) 432-1880
Fax
(843) 432-1022
NPI assigned
Sep 9, 2016
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Kenneth D. Beasley
Title
Senior Vice President
Phone
(843) 777-7010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X SC
Orthopaedic Surgery of the Spine Physician 207XS0117X SC Primary
Physical Medicine & Rehabilitation Physician 208100000X SC

Addresses

Primary practice location

800 E Cheves St Ste 480-B
Florence, SC 29506-2650

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7162

Other practice location 1

1319 South 4th Street
Hartsville, SC 29550
Phone (843) 432-1880

Other practice location 2

710 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone (843) 432-1880

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

800 E Cheves St
Ste 480B
Florence, SC 29506
Phone (843) 432-1880

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1821545633",
    "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": "843-777-7162",
            "fax_number": "843-777-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST STE 480-B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062650",
            "telephone_number": "843-432-1880",
            "fax_number": "843-432-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 South 4th Street",
            "address_purpose": "LOCATION",
            "city": "Hartsville",
            "state": "SC",
            "postal_code": "29550",
            "country_code": "US",
            "telephone_number": "843-432-1880",
            "fax_number": "843-432-1022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Chesterfield Hwy",
            "address_purpose": "LOCATION",
            "city": "Cheraw",
            "state": "SC",
            "postal_code": "295207001",
            "country_code": "US",
            "telephone_number": "843-432-1880",
            "fax_number": "843-432-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "843-777-7010"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "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 10, 2022; 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.