Active NPI
Adam Joshua Mandel, D.O.
- Orthopaedic Surgery Physician
- Little River, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 83615
- Practice address
- 3980 Highway 9 E Ste 200
Little River, SC 29566-8164 - Phone
- (843) 390-0100
- Fax
- (843) 390-0038
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS15483 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | H74117 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | 83615 | SC | Primary |
Addresses
Primary practice location
3980 Highway 9 E Ste 200
Little River, SC 29566-8164
Mailing address
3980 Highway 9 E Ste 200
Little River, SC 29566-8164
Phone (843) 390-0100
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
- Orthopedic Surgery
- Education
- Rowan University School of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3980 Hwy 9 E
Suite 200
Little River, SC 29566-8164
Phone (843) 390-0100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15483 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Orthopaedic Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Orthopaedic Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Past | 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
3980 Highway 9 E
Ste 200
Little River, SC 29566
Phone (843) 390-0100
115 McLeod Health Blvd
Ste 301
Myrtle Beach, SC 29579
Phone (843) 390-0100
Interoperability endpoints
- amandel19487@directmcleodehealth.org
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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
- Family Medicine Physician
- Dillon, SC
- NPI 1568434249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1942410048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 HIGHWAY 9 E STE 200",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295668164",
"telephone_number": "843-390-0100",
"fax_number": "843-390-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 HIGHWAY 9 E STE 200",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295668164",
"telephone_number": "843-390-0100",
"fax_number": "843-390-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "ADAM",
"middle_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS15483",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "H74117",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "83615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.