MCLEOD FAMILY MEDICINE - JOHNSONVILLE – NPI #1912001645
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.

MCLEOD FAMILY MEDICINE - JOHNSONVILLE is a provider located in JOHNSONVILLE, SC. NPPES has assigned the NPI number 1912001645 to MCLEOD FAMILY MEDICINE - JOHNSONVILLE on September 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCLEOD FAMILY MEDICINE - JOHNSONVILLE” is a dba name, the actual legal business name for this organization is MCLEOD PHYSICIAN ASSOCIATES II. 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.

The NPI profile was previously updated about 7 years ago on Aug 08, 2019. 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 MCLEOD FAMILY MEDICINE - JOHNSONVILLE below.

NPI Profile for
MCLEOD PHYSICIAN ASSOCIATES II

NPI Number
1912001645
Enumeration Date

(about 20 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 PHYSICIAN ASSOCIATES II
Doing Business As (dba): MCLEOD FAMILY MEDICINE - JOHNSONVILLE
Primary location
355 SOUTH GEORGETOWN HIGHWAY
JOHNSONVILLE, SC 29555
Phone: (843) 380-2000 Fax: (843) 380-2014
Mailing address
PO BOX 3239
FLORENCE, SC 29502-3239
Phone: (843) 380-2000 Fax: (843) 380-2014
Organization Subpart
Yes - MCLEOD FAMILY MEDICINE - JOHNSONVILLE is subpart of another organization.
Authorized Official
SAMUEL ERVIN
SR VICE PRESIDENT AND CFO
Phone: (843) 777-2910
Updated
Identifiers

Identifiers for MCLEOD FAMILY MEDICINE - JOHNSONVILLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP2568
MEDICAIDSCRHC176
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
261QR1300X
- Clinic/Center / Rural Health

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.