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MCLEOD FAMILY MEDICINE-JOHNSONVILLE
NPI 1144875774
Clinic/Center - Rural Health in Johnsonville, SC

Active since August 09, 2019CLIA 42D0970936 · Waiver
355 S GEORGETOWN HWY, JOHNSONVILLE, SC 29555(843) 380-2000 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About Mcleod Family Medicine-johnsonville NPPES

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

MCLEOD FAMILY MEDICINE-JOHNSONVILLE (NPI 1144875774) is a healthcare organization registered as a rural health in Johnsonville, South Carolina and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Samuel Fulton Ervin, Sr Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1144875774
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCLEOD HEALTH CLARENDON
Location Address355 S GEORGETOWN HWYJohnsonville, SC 29555-8083
Mailing AddressPo Box 100567Florence, SC 29502-0567
Phone(843) 380-2000
Organization SubpartNo
Authorized OfficialSamuel Fulton ErvinSr Vice President And Cfo · (843) 777-2910
Enumeration DateAugust 9, 2019
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1144875774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
355 S GEORGETOWN HWY, Johnsonville, SC 29555
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Other Names 1

Doing Business AsMcleod Family Medicine-johnsonville

Other Identifiers 3

Other42-8989SC · Ptan
MedicaidGP2568SC
MedicaidRHC176SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health, Molina Healthcare.Insurance ›

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 of Waiver 42D0970936

Mcleod Family Medicine Johnsonville · Johnsonville, SC
Active · expires Feb 29, 2028
CLIA Number42D0970936
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorMs. Chloe H. Martin
Laboratory Phone(843) 380-2000
Laboratory LocationMcleod Family Medicine Johnsonville355 South Georgetown Hwy, Johnsonville, SC 29555
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. CHLOE HINSON MARTIN FNP-BC
Nurse Practitioner (Family)
355 S GEORGETOWN HWY
JOHNSONVILLE, SC 29555
Florence County (843) 380-2000
KATELYN HANNA ROGERS MSN, APRN, FNP-C
Nurse Practitioner (Family)
355 S GEORGETOWN HWY
JOHNSONVILLE, SC 29555
Florence County (843) 380-2000

Frequently Asked Questions

What is MCLEOD HEALTH CLARENDON's NPI number?

The NPI number assigned to this healthcare provider is 1144875774, enumerated as an "organization" on August 09, 2019.

Where is the provider located?

The provider is located at 355 S GEORGETOWN HWY JOHNSONVILLE, SC 29555 and the phone number is (843) 380-2000.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

What insurance does MCLEOD HEALTH CLARENDON accept?

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, InStil. Please consult your insurance carrier or call the provider to verify.