McLeod Physician Associates II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MCLEOD PHYSICIAN ASSOCIATES II

Doing business as

Pate Medical Associates

Practice address

116 Hospital Square
Bishopville, SC 29010-7081

Phone

(803) 484-9424

Fax

(803) 484-6991

NPI assigned

Sep 13, 2006

Last updated

Mar 27, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

MCLEOD HEALTHAs reported in NPPES

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

Authorized official

Name

Paul Provenzano

Title

Regional Practice Manager/Avp

Phone

(843) 777-7030

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Pate Medical Associates Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• McLeod Physician Associates II

  dba McLeod Urgent Care Center - Darlington

  • Urgent Care Clinic/Center
  • Darlington, SC
  • NPI 1386819613

  Member Of

  NPD member

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1942305388",
    "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": "803-484-9424",
            "fax_number": "803-484-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HOSPITAL SQUARE",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290107081",
            "telephone_number": "803-484-9424",
            "fax_number": "803-484-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD PHYSICIAN ASSOCIATES II",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "PROVENZANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "REGIONAL PRACTICE MANAGER/AVP",
        "authorized_official_telephone_number": "843-777-7030"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC164",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1813",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC528",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pate Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Earnestine J Lowery
• Tameka D Lyles, MSW, CAC-P
• Map - Bishopville, P.a.
• Dorothy McAllister
• McLeod Pharmacy Inc
• McLeod Physician Associates, Inc. (Pate Medical Associates)
• John Mitchell Mealing, RPH
• Marci L Meeker
• Michelle Mode LLC (Pee Dee Care Services)
• MMSC Opco LLC

• Family Medicine Physician in Bishopville, SC
• Providers in Bishopville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.