MCLEAN SHEPERD, MD, LLC
NPI 1104975663
Specialist in Mount Pleasant, SC

Active since January 10, 2007
852 LOWCOUNTRY BLVD, SUITE 102, MOUNT PLEASANT, SC 29464(843) 216-3530(843) 654-9122 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mclean Sheperd, Md, Llc NPPES

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

MCLEAN SHEPERD, MD, LLC (NPI 1104975663) is a healthcare organization registered as a specialist in Mount Pleasant, South Carolina and active in the NPI registry since January 2007. The organization lists Mclean Sheperd, Owner, as its authorized official.

NPPES Registry Identity

NPI1104975663
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMCLEAN SHEPERD, MD, LLC
Location Address852 LOWCOUNTRY BLVD, SUITE 102Mount Pleasant, SC 29464-3067
Mailing Address852 Lowcountry Blvd, Suite 102Mount Pleasant, SC 29464-3067 · (843) 216-3530 · Fax (843) 654-9122
Fax(843) 654-9122
Organization SubpartYes
Authorized OfficialMclean SheperdOwner · (843) 216-3530
Enumeration DateJanuary 10, 2007
Last NPPES UpdateOctober 4, 2011
✔ NPI 1104975663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 18640
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
852 LOWCOUNTRY BLVD, Mount Pleasant, SC 29464

Other Identifiers 3

Medicare PIN7952SC
Medicaid186408SC
Medicare UPINH12449SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mclean Sheperd, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mclean Sheperd, MD, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1972974871
912 OLD GEORGETOWN RD.
Mt. Pleasant, SC 29464
(843) 216-3530
✔ PECOS✔ Accepts Medicare1.5 mi
Dermatology
NPI 1689617128
912 OLD GEORGETOWN RD
Mt Pleasant, SC 29464
(843) 216-3530
✔ PECOS✔ Accepts Medicare1.5 mi
Dermatology
NPI 1366017139
135 RUTLEDGE AVE
Charleston, SC 29425
(843) 860-4110
✔ PECOS✔ Accepts Medicare4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mclean Sheperd, MD, LLC's NPI number?

The NPI number for Mclean Sheperd, MD, LLC is 1104975663. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Mclean Sheperd, MD, LLC located?

Mclean Sheperd, MD, LLC is located at 852 Lowcountry Blvd Suite 102, Mount Pleasant, SC 29464. The listed phone number is (843) 216-3530.

What is Mclean Sheperd, MD, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mclean Sheperd, MD, LLC enrolled in Medicare?

Yes. Mclean Sheperd, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mclean Sheperd, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mclean Sheperd, MD, LLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mclean Sheperd, MD, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Mclean Sheperd, MD, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mclean Sheperd, MD, LLC was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.