MCLEOD FAMILY MEDICINE KINGSTREE
NPI 1275689002
Clinic/Center - Rural Health in Kingstree, SC
NPI Status: Active since January 26, 2007
Contact Information
512 NELSON BLVD STE 200
KINGSTREE, SC
ZIP 29556
Phone: (843) 355-5459
Fax: (843) 355-9704
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 42D0019897
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-27-2025
About MCLEOD FAMILY MEDICINE KINGSTREE
This page provides the complete NPI Profile along with additional information for Mcleod Family Medicine Kingstree, a primary care provider established in Kingstree, South Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1275689002 assigned on January 2007. The practitioner's primary taxonomy code is 261QR1300X with license number 11529 (SC). The provider is registered as an organization and their NPI record was last updated 6 years ago. Mcleod Family Medicine Kingstree operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mcleod Family Medicine Kingstree. The authorized official of this NPI record is Samuel Fulton Ervin Iii (Sr Vice President And Cfo)
- NPI
- 1275689002
- Provider Legal Name
- MCLEOD PHYSICIAN ASSOCIATES II
- Other Organization Name
- MCLEOD FAMILY MEDICINE KINGSTREE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 512 NELSON BLVD STE 200 KINGSTREE, SC 29556
- Location Phone
- (843) 355-5459
- Location Fax
- (843) 355-9704
- Mailing Address
- PO BOX 3239 FLORENCE, SC 29502
- Mailing Phone
- (843) 777-7162
- Mailing Fax
- (843) 355-9704
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-26-2007
- Last Update Date
- 08-08-2019
- Code Navigator
A primary care provider (PCP) like Mcleod Family Medicine Kingstree sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 11529
- License State
- SC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (SC) |
| 2 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (SC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| RHC047 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0019897
- Facility Type
- Physician Office
- Certificate Effective Date
- September 28, 2023
- Certificate Expiration Date
- September 27, 2025
- Laboratory Director
- ROBERT S. EAGERTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mcleod Family Medicine Kingstree to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 8 | 9 | 0 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 8 | 18 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 8 + 0 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1275689002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326693953 | MCLEOD HEALTH CLARENDON Organization | Family Medicine | 512 NELSON BLVD STE 200 KINGSTREE, SC 29556 (843) 355-5459 |
| 1194855502 | PAUL ANDREW GULLEDGE FNP Individual | Nurse Practitioner (Family) | 512 NELSON BLVD STE 200 KINGSTREE, SC 29556 (843) 355-5459 |
| 1326614363 | MRS. RAINA MCKENZIE PHILHOWER PA-C Individual | Physician Assistant (Medical) | 512 NELSON BLVD STE 200 KINGSTREE, SC 29556 (843) 355-5459 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275689002, enumerated in the NPI registry as an "organization" on January 26, 2007
The provider is located at 512 Nelson Blvd Ste 200 Kingstree, Sc 29556 and the phone number is (843) 355-5459
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D0019897 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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