NPIMap

Organization Active NPI

McLeod Physician Associates II

Doing business as Mcleod Surgery Clarendon

  • Surgery Physician
  • Manning, SC
National Provider Identifier
1861845505
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MCLEOD PHYSICIAN ASSOCIATES II
Doing business as
Mcleod Surgery Clarendon
Practice address
15 E Hospital St
Manning, SC 29102-3152
Phone
(803) 435-2822
Fax
(803) 435-4158
NPI assigned
Jul 18, 2016
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLEOD HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X SC Primary

Addresses

Primary practice location

15 E Hospital St
Manning, SC 29102-3152

Mailing address

PO Box 3239
Florence, SC 29502-3239
Phone (843) 777-7010

Other practice location 1

540 Physicians Ln
Sumter, SC 29150-3370
Phone (803) 340-5110

Other names 1

  • Mcleod Surgery Clarendon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLeod Physician Associates II138 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

15 E Hospital St
Manning, SC 29102
Phone (803) 435-2529

540 Physicians Ln
Sumter, SC 29150
Phone (803) 778-1941

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1861845505",
    "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": "843-777-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E HOSPITAL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023152",
            "telephone_number": "803-435-2822",
            "fax_number": "803-435-4158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Physicians Ln",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291503370",
            "country_code": "US",
            "telephone_number": "803-340-5110",
            "fax_number": "803-435-4158",
            "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": "2016-07-18",
        "last_updated": "2022-06-07",
        "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mcleod Surgery Clarendon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mcleod Surgery Clarendon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.