MCLEOD LORIS PRIMARY CARE
NPI 1205113248
Family Medicine in Loris, SC

Active since November 04, 2011CLIA 42D0890916 · Microscopy
3109 CASEY ST, LORIS, SC 29569(843) 756-9292(843) 756-9260 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mcleod Loris Primary Care NPPES

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

MCLEOD LORIS PRIMARY CARE (NPI 1205113248) is a healthcare organization registered as a family medicine in Loris, South Carolina and active in the NPI registry since November 2011. The organization holds a CLIA Microscopy certificate valid through December 28, 2027 and lists Kenneth D. Beasley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1205113248
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II
Location Address3109 CASEY STLoris, SC 29569-2807
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7010 · Fax (843) 777-7006
Fax(843) 756-9260
Organization SubpartYesParent: Mcleod Health, Inc.
Authorized OfficialKenneth D. BeasleySenior Vice President · (843) 777-7010
Enumeration DateNovember 4, 2011
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1205113248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3109 CASEY ST, Loris, SC 29569

Other Names 1

Doing Business AsMcleod Loris Primary Care

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 42D0890916

Mcleod Loris Primary Care · Loris, SC
Active · expires Dec 28, 2027
CLIA Number42D0890916
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorAshley N. Tiller
Laboratory Phone(843) 756-9292
Laboratory LocationMcleod Loris Primary Care3109 Casey Street, Loris, SC 29569
CLIA data matches this NPI record on: Address 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 8

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

Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Pediatrics
3109 CASEY ST, BOX 669
LORIS, SC 29569
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Internal Medicine
3109 CASEY ST
LORIS, SC 29569

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 1205113248. It was assigned to this organization in the NPPES registry on November 4, 2011. The provider is doing business as Mcleod Loris Primary Care.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 3109 Casey St, Loris, SC 29569. The listed phone number is (843) 756-9292.

What is Mcleod Physician Associates II's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mcleod Physician Associates II hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0890916) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mcleod Physician Associates II accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Mcleod Physician Associates II 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 Physician Associates II was last updated on June 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.