Active NPI
Michael E Harless, M.D.
- Family Medicine Physician
- Hartsville, SC
National Provider Identifier
1972535342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18002
- Practice address
- 206 Swift Creek Rd
Hartsville, SC 29550-4383 - Phone
- (843) 917-4117
- Fax
- (843) 917-4170
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18002 | SC | Primary |
Addresses
Primary practice location
206 Swift Creek Rd
Hartsville, SC 29550-4383
Mailing address
206 Swift Creek Rd
Hartsville, SC 29550-4383
Phone (843) 917-4117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP7551 | Medicaid | SC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081027000442 | SC | Practitioner - Family Practice | 1759449358 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-8463
711 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 537-7881
Hospital & facility affiliations
- McLeod Health Cheraw
- McLeod Health Clarendon
- McLeod Regional Medical Center-Pee Dee
- Musc Health Florence Medical Center
- Southland Health Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Clarendon | Family Medicine | Current | Accepting new patients |
| Apogee Medical Group South Carolina | Current | Accepting new patients | |
| SC House Calls Inc | Family Medicine | Current | Accepting new patients |
| McLeod Health Cheraw | Family Medicine | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Health Cheraw | Past | Accepting new patients |
Locations
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
206 Swift Creek Rd
Hartsville, SC 29550
Phone (843) 383-6456
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- mharless24877@directmcleodehealth.org
Organizations & group practices 12
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- General Acute Care Hospital
- Cheraw, SC
- NPI 1902283740
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
Hospital
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1972535342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SWIFT CREEK RD",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504383",
"telephone_number": "843-917-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 SWIFT CREEK RD",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504383",
"telephone_number": "843-917-4117",
"fax_number": "843-917-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLESS",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "18002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP7551",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.