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MCLEOD PRIMARY CARE CAROLINA FOREST 1
NPI 1326594995
Family Medicine in Myrtle Beach, SC

Active since September 01, 2016CLIA 42D2119342 · Waiver
101 MCLEOD HEALTH BLVD STE 201, MYRTLE BEACH, SC 29579(843) 646-8001(843) 646-8002 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, Jun 7, 2022, Dec 21, 2021 and 3 more (6 updates tracked since 2016).

About Mcleod Primary Care Carolina Forest 1 NPPES

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

MCLEOD PRIMARY CARE CAROLINA FOREST 1 (NPI 1326594995) is a healthcare organization registered as a family medicine in Myrtle Beach, South Carolina and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Kenneth D. Beasley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1326594995
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II
Location Address101 MCLEOD HEALTH BLVD STE 201Myrtle Beach, SC 29579-4477
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7042 · Fax (843) 777-7102
Phone(843) 646-8001
Fax(843) 646-8002
Organization SubpartYesParent: Mcleod Health
Authorized OfficialKenneth D. BeasleySenior Vice President · (843) 777-7010
Enumeration DateSeptember 1, 2016
Last NPPES UpdateNovember 30, 20226 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1326594995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
101 MCLEOD HEALTH BLVD STE 201, Myrtle Beach, SC 29579
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Other Names 1

Doing Business AsMcleod Primary Care Carolina Forest 1

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 of Waiver 42D2119342

Mcleod Primary Care Carolina Forest I · Myrtle Beach, SC
Active · expires Sep 25, 2026
CLIA Number42D2119342
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorDr. William R. Gammon
Laboratory Phone(843) 646-8001
Laboratory LocationMcleod Primary Care Carolina Forest I101 Mcleod Health Blvd, Suite 201, Myrtle Beach, SC 29579
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MS. VASILIKI PAPATHANASIOU M.D.
Family Medicine
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC 29579
Horry County (843) 646-8001
DR. WILLIAM R. GAMMON MD
Family Medicine
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC 29579
Horry County (843) 646-8001
BRENDAN GRIESMER MD
Internal Medicine
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC 29579
Horry County (843) 646-8001
MRS. ALEXIS LOUISE CRAWLEY FNP
Nurse Practitioner (Family)
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC 29579
Horry County (843) 646-8001
DR. JOHN Y. KARL MD
Family Medicine
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC 29579
Horry County (843) 646-8001
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Family Medicine
101 MCLEOD HEALTH BLVD STE 201
MYRTLE BEACH, SC 29579
Horry County (843) 646-8001

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 1326594995. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Mcleod Primary Care Carolina Forest 1.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 101 Mcleod Health Blvd Ste 201, Myrtle Beach, SC 29579. The listed phone number is (843) 646-8001.

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 of Waiver (number 42D2119342) is associated with this NPI, valid through September 25, 2026. 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 November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.