MCLEOD FAMILY PRACTICE - TIMMONSVILLE
NPI 1528162112
Family Medicine in Timmonsville, SC

NPI Status: Active since September 12, 2006

Contact Information

755 E SMITH ST
TIMMONSVILLE, SC
ZIP 29161
Phone: (843) 346-3900
Fax: (843) 346-7839

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  • Organization
  • Family Medicine
  • Accepts Insurance

About MCLEOD FAMILY PRACTICE - TIMMONSVILLE

This page provides the complete NPI Profile along with additional information for Mcleod Family Practice - Timmonsville, a primary care provider established in Timmonsville, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528162112 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Mcleod Family Practice - Timmonsville 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 Practice - Timmonsville. The authorized official of this NPI record is Paul Provenzano (Regional Practice Manager/avp)

NPI
1528162112
Provider Legal Name
MCLEOD PHYSICIAN ASSOCIATES II
Other Organization Name
MCLEOD FAMILY PRACTICE - TIMMONSVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
755 E SMITH ST TIMMONSVILLE, SC 29161
Location Phone
(843) 346-3900
Location Fax
(843) 346-7839
Mailing Address
PO BOX 3239 FLORENCE, SC 29502
Mailing Phone
(843) 346-3900
Mailing Fax
(843) 346-7839
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-12-2006
Last Update Date
03-27-2009
Code Navigator

A primary care provider (PCP) like Mcleod Family Practice - Timmonsville 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

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:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL PROVENZANO

Authorized Official Title
REGIONAL PRACTICE MANAGER/AVP
Authorized Official Phone
(843) 777-7030

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
RHC170MEDICAID (05)SC 
=========023OTHER (01)SCBLUE CHOICE
=========023OTHER (01)SCBLUE CROSS BLUE SHIELD
RHC137MEDICAID (05)SC 
GP1781MEDICAID (05)SC 
428962MEDICARE OSCAR/CERTIFICATION (06)SC 

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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.
1528162112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254826412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 6 + 4 + 1 + 2 + 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 = 22

The NPI number 1528162112 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003461773MCLEOD HEALTH CLARENDON
Organization
Clinic/Center (Rural Health)755 E SMITH ST
TIMMONSVILLE, SC 29161
(843) 346-3900
1043282866MCLEOD PHYSICIAN ASSOCIATES, INC.
Organization
Family Medicine755 E SMITH ST
TIMMONSVILLE, SC 29161
(843) 346-3900
1578000840 DANIELLE ANN ALTMAN FNP-BC
Individual
Nurse Practitioner (Family)755 E SMITH ST
TIMMONSVILLE, SC 29161
(843) 346-3900
1932172483 FOCELL JACKSON-DOZIER MD
Individual
Family Medicine755 E SMITH ST
TIMMONSVILLE, SC 29161
(843) 346-3900
1801869797 ALLISON SLICE FNP
Individual
Nurse Practitioner (Family)755 E SMITH ST
TIMMONSVILLE, SC 29161
(843) 346-3900
1346741121 BRANDI POWELL RUSS FNP-C
Individual
Nurse Practitioner (Family)755 E SMITH ST
TIMMONSVILLE, SC 29161
(843) 346-3900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528162112, enumerated in the NPI registry as an "organization" on September 12, 2006

The provider is located at 755 E Smith St Timmonsville, Sc 29161 and the phone number is (843) 346-3900

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 12, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.