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MCLEOD PRIMARY CARE CLARENDON
NPI 1083067714
Internal Medicine in Manning, SC

Active since July 18, 2016CLIA 42D0683879 · Microscopy
22 BOZARD ST, MANNING, SC 29102(803) 435-8828(803) 435-2239 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mcleod Primary Care Clarendon NPPES

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

MCLEOD PRIMARY CARE CLARENDON (NPI 1083067714) is a healthcare organization registered as an internal medicine in Manning, South Carolina and active in the NPI registry since July 2016. The organization holds a CLIA Microscopy certificate valid through September 9, 2027 and lists Dane P. Ficco, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1083067714
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II
Location Address22 BOZARD STManning, SC 29102-2935
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7487 · Fax (843) 777-7102
Phone(803) 435-8828
Fax(803) 435-2239
Organization SubpartYesParent: Mcleod Health
Authorized OfficialDane P. FiccoSenior Vice President · (843) 777-7010
Enumeration DateJuly 18, 2016
✔ NPI 1083067714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22 BOZARD ST, Manning, SC 29102
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Other Names 1

Doing Business AsMcleod Primary Care Clarendon

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) 42D0683879

Mcleod Primary Care Clarendon · Manning, SC
Active · expires Sep 9, 2027
CLIA Number42D0683879
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorDr. Lisa E. Heichberger
Laboratory Phone(803) 435-8828
Laboratory LocationMcleod Primary Care Clarendon50 East Hospital Street Suite 3, Manning, SC 29102
CLIA data matches this NPI record on: 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 4

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

AMBER NICOLE BALLENTINE APRN
Nurse Practitioner
22 BOZARD ST
MANNING, SC 29102
Clarendon County (803) 435-8828
CLARENDON MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
22 BOZARD ST
MANNING, SC 29102
Clarendon County (803) 435-5257
MCLEOD PHYSICIAN ASSOCIATES, INC.
Family Medicine
22 BOZARD ST
MANNING, SC 29102
Clarendon County (803) 435-8828
DR. ANNE CHRISTINA ZIMMERMAN D.O.
Family Medicine
22 BOZARD ST
MANNING, SC 29102
Clarendon County (803) 435-8828

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 1083067714. It was assigned to this organization in the NPPES registry on July 18, 2016. The provider is doing business as Mcleod Primary Care Clarendon.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 22 Bozard St, Manning, SC 29102. The listed phone number is (803) 435-8828.

What is Mcleod Physician Associates II's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mcleod Physician Associates II hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0683879) is associated with this NPI, valid through September 9, 2027. 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 July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.