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SOUTHERN MEDICAL ASSOCIATES
NPI 1003183120
Family Medicine in Loris, SC

Active since November 17, 2011CLIA 42D0251920 · Microscopy
3418 CASEY ST, LORIS, SC 29569(843) 756-7885(843) 756-7855 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MEDICAL ASSOCIATES (NPI 1003183120) is a healthcare organization registered as a family medicine in Loris, South Carolina and active in the NPI registry since November 2011. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Kenneth D. Beasley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1003183120
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II
Location Address3418 CASEY STLoris, SC 29569-2904
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7122 · Fax (843) 777-7102
Phone(843) 756-7885
Fax(843) 756-7855
Organization SubpartYesParent: Mcleod Health
Authorized OfficialKenneth D. BeasleySenior Vice President · (843) 777-7010
Enumeration DateNovember 17, 2011
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1003183120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3418 CASEY ST, Loris, SC 29569
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Other Names 1

Doing Business AsSouthern Medical Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0251920

Southern Medical Associates · Loris, SC
Active · expires Aug 31, 2026
CLIA Number42D0251920
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Timothy C. Mills
Laboratory Phone(843) 756-7885
Laboratory LocationSouthern Medical Associates3418 Casey Street, Loris, SC 29569
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN MEDICAL ASSOCIATES, P.A.
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
ANDREW J.R. SEJAN M.D.
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
MRS. JULIA BATTEN HUCKS FNP-C
Nurse Practitioner
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
DR. SHANNON SMITH TIEBOUT DO
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
LORIS COMMUNITY HOSPITAL DISTRICT
Internal Medicine (Critical Care Medicine)
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 716-7911
BRIAN JAMES THACKER DO
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885
LORIS COMMUNITY HOSPITAL DISTRICT
Family Medicine
3418 CASEY ST
LORIS, SC 29569
Horry County (843) 756-7885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcleod Physician Associates II's NPI number?

The NPI number for Mcleod Physician Associates II is 1003183120. It was assigned to this organization in the NPPES registry on November 17, 2011. The provider is doing business as Southern Medical Associates.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 3418 Casey St, Loris, SC 29569. The listed phone number is (843) 756-7885.

What is Mcleod Physician Associates II's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mcleod Physician Associates II hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0251920) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcleod Physician Associates II was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.