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MCLEOD RHEUMATOLOGY SEACOAST
NPI 1114459658
Internal Medicine - Rheumatology in North Myrtle Beach, SC

Active since April 03, 2017CLIA 42D2131339 · Microscopy
2021 N MYRTLE POINT BLVD STE 102, NORTH MYRTLE BEACH, SC 29582(843) 366-3060(843) 366-3069 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2022, Apr 27, 2017, Apr 18, 2017 (3 updates tracked since 2017).

About Mcleod Rheumatology Seacoast NPPES

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

MCLEOD RHEUMATOLOGY SEACOAST (NPI 1114459658) is a healthcare organization registered as a rheumatology in North Myrtle Beach, South Carolina and active in the NPI registry since April 2017. The organization holds a CLIA Microscopy certificate valid through May 25, 2027, maintains a secondary practice location in Myrtle Beach, and lists Kenneth D. Beasley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1114459658
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II
Location Address2021 N MYRTLE POINT BLVD STE 102North Myrtle Beach, SC 29582-2224
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 366-3729 · Fax (843) 777-7102
Phone(843) 366-3060
Fax(843) 366-3069
Organization SubpartYesParent: Mcleod Health
Authorized OfficialKenneth D. BeasleySenior Vice President · (843) 777-7010
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 7, 20223 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1114459658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2021 N MYRTLE POINT BLVD STE 102, North Myrtle Beach, SC 29582
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Other Names 1

Doing Business AsMcleod Rheumatology Seacoast

Secondary Practice Location 1

Location 1107 McLeod Health Blvd Ste 201Myrtle Beach, SC 29579-4477 · Phone (843) 366-3060 · Fax (843) 366-3069

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) 42D2131339

Mcleod Rheumatology Seacoast · North Myrtle Beach, SC
Active · expires May 25, 2027
CLIA Number42D2131339
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorPinky S. Vaidya
Laboratory Phone(843) 366-2967
Laboratory LocationMcleod Rheumatology Seacoast2021 North Myrtle Point Suite 104, North Myrtle Beach, SC 29582
CLIA data matches this NPI record on: Name
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.

TRACEY MICHELLE LEWIS APRN, NP-C
Nurse Practitioner (Family)
2021 N MYRTLE POINT BLVD STE 102
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-3060
HOLLY LEANNE POPLIN APRN
Nurse Practitioner (Primary Care)
2021 N MYRTLE POINT BLVD STE 102
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-2800
KIA PERSAUD MBBS
Internal Medicine (Rheumatology)
2021 N MYRTLE POINT BLVD STE 102
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-3060
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Internal Medicine (Rheumatology)
2021 N MYRTLE POINT BLVD STE 102
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-3060

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 1114459658. It was assigned to this organization in the NPPES registry on April 3, 2017. The provider is doing business as Mcleod Rheumatology Seacoast.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582. The listed phone number is (843) 366-3060.

What is Mcleod Physician Associates II's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Does Mcleod Physician Associates II hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2131339) is associated with this NPI, valid through May 25, 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 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.