McKay Nichols Morrow

Individual provider Active NPI Family Medicine Physician · Landrum, SC

NPI 1992490965 · NPPES record last updated Aug 25, 2026

Key facts

NPI
1992490965
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
89944 (SC)
Practice address
133 N Howard Ave
Landrum, SC 29356-1507
Phone
(864) 457-3838
NPI assigned
Apr 6, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230727003448 SC Order and Referring Only - Family Practice
Practitioner - Family Practice
9335500057

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LL89944SCMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 89944 SC Yes

Addresses

Primary practice location

133 N Howard Ave
Landrum, SC 29356-1507

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other providers in Landrum, SC

All providers in Landrum, SC · Family Medicine Physician in South Carolina

Sources for this page

Verify at the official NPI Registry.