Active NPI
Kia Persaud, MBBS
- Rheumatology Physician
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 93036
- Practice address
- 2021 N Myrtle Point Blvd Ste 102
North Myrtle Beach, SC 29582-2224 - Phone
- (843) 366-3060
- Fax
- (843) 366-3069
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 93036 | SC | Primary |
Addresses
Primary practice location
2021 N Myrtle Point Blvd Ste 102
North Myrtle Beach, SC 29582-2224
Mailing address
2021 N Myrtle Point Blvd Ste 102
North Myrtle Beach, SC 29582-2224
Phone (843) 366-3060
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 N Myrtle Point Blvd
North Myrtle Beach, SC 29582-2224
Phone (843) 366-3060
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- McLeod Loris Hospital
- Conway Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
506 E Cheves St
#202
Florence, SC 29506
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
115 McLeod Health Blvd
Ste 201
Myrtle Beach, SC 29579
Phone (843) 646-8430
2021 N Myrtle Point Blvd
Ste 104
North Myrtle Beach, SC 29582
Phone (843) 366-2900
2021 N Myrtle Point Blvd
Ste 102
North Myrtle Beach, SC 29582
Phone (843) 366-3030
Interoperability endpoints
- kpersaud93352@directmcleodehealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1891256624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N MYRTLE POINT BLVD STE 102",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822224",
"telephone_number": "843-366-3060",
"fax_number": "843-366-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N MYRTLE POINT BLVD STE 102",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822224",
"telephone_number": "843-366-3060",
"fax_number": "843-366-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSAUD",
"first_name": "KIA",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "93036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.