Mark S. Pack, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35481 Issued in SC

Practice address

805 Pamplico Hwy Ste A230
Florence, SC 29505-6057

Phone

(843) 669-1220

Fax

(843) 669-3725

NPI assigned

Sep 8, 2005

Reactivated

Mar 31, 2006

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Wright State University Boonshoft School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
• McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005
• CCN 420117 Hospital, CCN 420117
• McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107
• Regency Hospital of Florence Long-term care hospital, Florence, SC, CCN 422007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpack95726@directmcleodehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494

  Surgery

  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006

  Surgery

  Medicare reassignment Care Compare group NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Prisma Health University Medical Group

  dba Department of Radiology

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1568799955
  Medicare reassignment NPD
• Mark S. Pack, MD, PSC

  • Surgery Physician
  • Ashland, KY
  • NPI 1356542492
  NPD Authorized official
• Carolina Family Care, Inc

  dba MUSC Health Spine Physical Medicine & Rehabilitation - Mt Pleasant

  • Physical Medicine & Rehabilitation Physician
  • Mount Pleasant, SC
  • NPI 1639409808
  NPD
• GHS Partners in Health, Inc.

  dba Clemson-Seneca Pediatrics-Seneca

  • Pediatrics Physician
  • Seneca, SC
  • NPI 1962854125
  NPD
• McLeod Physician Associates II

  dba McLeod Orthopaedics - Florence

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Prisma Health University Medical Group

  dba Parkside OB-GYN

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• McLeod Physician Associates II

  dba McLeod Family Medicine - Dillon

  • Family Medicine Physician
  • Dillon, SC
  • NPI 1568434249
  NPD (past)
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1184197683
  NPD (past)

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

• McLeod Health Cheraw

  • General Acute Care Hospital
  • Cheraw, SC
  • NPI 1902283740
  Care Compare affiliation
• McLeod Medical Center-Dillon

  • General Acute Care Hospital
  • Dillon, SC
  • NPI 1598746141
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1184197683
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Black River Medical Center

  • General Acute Care Hospital
  • Cades, SC
  • NPI 1841914298
  Care Compare affiliation
• Regency Hospital Company of South Carolina, LLC

  dba Regency Hospital of Florence

  • Long Term Care Hospital
  • Florence, SC
  • NPI 1487656294

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1952395709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY STE A230",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056057",
            "telephone_number": "843-669-1220",
            "fax_number": "843-669-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 Rock Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056502",
            "country_code": "US",
            "telephone_number": "843-615-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACK",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "35481",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "28407",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35074195P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354814",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpack253933@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "805 Pamplico Hwy Ste A230",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295056057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Owens
• Sarah Lynn Owens, NP
• Owl's Club International (Owls Nest Recovery Community)
• Valencia Oxendine-Rose
• Mallory Oxendine, M.A.
• Janet Veronica Packer-Harkless, RPH
• Chelsey Packer, RN
• Sabrina Kelly Packett
• Angela Padgett, RN
• Edwin Padgett, MD

• Surgery Physician in Florence, SC
• Providers in Florence, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.