NPIMap

Individual provider Active NPI

Stanley Winger McCloy Jr., MD

  • Family Medicine Physician
  • Irmo, SC
National Provider Identifier
1922098680
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30372 Issued in SC
Practice address
7142 Woodrow St
Suite B
Irmo, SC 29063-2832
Phone
(803) 929-7784
Fax
(803) 929-7761
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30372 SC Primary

Addresses

Primary practice location

7142 Woodrow St
Suite B
Irmo, SC 29063-2832

Mailing address

PO Box 3635
Irmo, SC 29063-4018
Phone (803) 929-7784

Other identifiers 1

IdentifierTypeStateIssuer
303727MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071105000119 SC Practitioner - Family Practice 3274620422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7142 Woodrow St
Suite B
Irmo, SC 29063-2832

7142 Woodrow St B
Irmo, SC 29063-2832
Phone (803) 602-0300

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • All Seasons Healthcare, Inc Hospice, Irmo, SC, CCN 421625
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Presbyterian Home Of South Carolina-Columbia Nursing home, Lexington, SC, CCN 425396
  • Retreat at Wellmore of Lexington Nursing home, Lexington, SC, CCN 425412

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Medical Associates, LLC Family Medicine CurrentSince Apr 24, 2014 Accepting new patients
All Seasons Healthcare, Inc Family Medicine Past Accepting new patients
Senior Health Associates, PA PastSince Jan 21, 2014 Accepting new patients

Locations

7142 Woodrow St
#B
Irmo, SC 29063
Phone (803) 309-1275

Interoperability endpoints

  • Direct secure messaging: mccloy.stanley.006.0400046@asma.meditab.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1922098680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3635",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634018",
            "telephone_number": "803-929-7784",
            "fax_number": "803-929-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7142 WOODROW ST",
            "address_2": "SUITE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632832",
            "telephone_number": "803-929-7784",
            "fax_number": "803-929-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOY",
        "first_name": "STANLEY",
        "middle_name": "WINGER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303727",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.