MCLEOD FAMILY MEDICINE-JOHNSONVILLE
NPI 1144875774
Clinic/Center - Rural Health in Johnsonville, SC
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
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Mcleod Family Medicine-johnsonville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
215Medicare enrollment records show 215 clinicians reassign Medicare billing to Mcleod Family Medicine-Johnsonville, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 215Georgetown, SC 29440
Florence, SC 29506
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCFrequently 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 Health Clarendon's NPI number?
The NPI number for Mcleod Health Clarendon is 1144875774. It was assigned to this organization in the NPPES registry on August 9, 2019. The provider is doing business as Mcleod Family Medicine-Johnsonville.
Where is Mcleod Health Clarendon located?
Mcleod Health Clarendon is located at 355 S Georgetown Hwy, Johnsonville, SC 29555. The listed phone number is (843) 380-2000.
What is Mcleod Health Clarendon's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Mcleod Health Clarendon enrolled in Medicare?
Yes. Mcleod Health Clarendon is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mcleod Health Clarendon?
According to the CMS Revalidation Reassignment List (October 2026 release), 215 clinicians in 20 Medicare specialties reassign their Medicare billing to Mcleod Health Clarendon. 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. The largest specialties are Family Practice (36), Internal Medicine (31) and Obstetrics/Gynecology (27). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mcleod Health Clarendon hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D0970936) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mcleod Health Clarendon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 1 other insurer list Mcleod Health Clarendon 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 Mcleod Health Clarendon was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mcleod Family Medicine-Johnsonville · NPI 1144875774
Rural Health organization in Johnsonville, South Carolina. Organization record, active in the CMS NPPES registry since August 9, 2019.
## Identity
- **NPI:** 1144875774 (Entity type: Organization)
- **Enumerated:** August 9, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mcleod Health Clarendon
- **Organization subpart:** No
- **Authorized official:** Samuel Ervin, SR VICE PRESIDENT AND CFO
## Practice location
- **Address:** 355 S GEORGETOWN HWY, Johnsonville, SC 29555-8083
- **Phone:** (843) 380-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 215 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (36), Internal Medicine (31), Obstetrics/Gynecology (27); 3 practice at this address; [full list](https://npiprofile.com/npi/1144875774/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2019
- **Other identifiers:** Other 42-8989 (SC); Medicaid GP2568 (SC); Medicaid RHC176 (SC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144875774) · Data from the CMS NPPES public registry.