SOUTHERN MEDICAL ASSOCIATES – NPI #1407613029
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SOUTHERN MEDICAL ASSOCIATES is a provider located in LORIS, SC. NPPES has assigned the NPI number 1407613029 to SOUTHERN MEDICAL ASSOCIATES on February 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN MEDICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN MEDICAL ASSOCIATES below.

NPI Profile for
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

NPI Number
1407613029
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Doing Business As (dba): SOUTHERN MEDICAL ASSOCIATES
Primary location
3418 CASEY ST
LORIS, SC 29569-2904
Phone: (843) 756-7885 Fax: (843) 756-7855
Mailing address
PO BOX 601743
CHARLOTTE, NC 28260-1743
Phone: (843) 756-7885 Fax: (843) 756-7855
Organization Subpart
Yes - SOUTHERN MEDICAL ASSOCIATES is subpart of another organization.
Authorized Official
SAMUEL ERVIN
SR VP & CFO
Phone: (843) 777-2910
Updated
Certification Date
Feb 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.