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MCLEOD PRIMARY CARE NORTH MYRTLE BEACH
NPI 1609460443
Family Medicine in North Myrtle Beach, SC

Active since February 23, 2021CLIA 42D2217107 · Waiver
2021 N MYRTLE POINT BLVD STE 101, NORTH MYRTLE BEACH, SC 29582(843) 366-2900(843) 366-2450 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jun 7, 2022, Mar 30, 2021 and 1 more (4 updates tracked since 2021).

About Mcleod Primary Care North Myrtle Beach NPPES

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

MCLEOD PRIMARY CARE NORTH MYRTLE BEACH (NPI 1609460443) is a healthcare organization registered as a family medicine in North Myrtle Beach, South Carolina and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Kenneth D. Beasley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1609460443
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II
Location Address2021 N MYRTLE POINT BLVD STE 101North Myrtle Beach, SC 29582-2224
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 646-8923 · Fax (843) 777-7102
Phone(843) 366-2900
Fax(843) 366-2450
Organization SubpartYesParent: Mcleod Health
Authorized OfficialKenneth D. BeasleySenior Vice President · (843) 777-7010
Enumeration DateFebruary 23, 2021
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1609460443 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
2021 N MYRTLE POINT BLVD STE 101, North Myrtle Beach, SC 29582
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Other Names 1

Doing Business AsMcleod Primary Care North Myrtle Beach

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 42D2217107

Mcleod Primary Care North Myrtle Beach · North Myrtle Beach, SC
Active · expires Mar 17, 2027
CLIA Number42D2217107
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorJonessa A. Villanueva
Laboratory Phone(843) 366-2900
Laboratory LocationMcleod Primary Care North Myrtle Beach2021 North Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582
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 3

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

DEJI O OKUBOYE D.O.
Family Medicine
2021 N MYRTLE POINT BLVD STE 101
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-2900
JONESSA ANN VILLANUEVA M.D.
Internal Medicine
2021 N MYRTLE POINT BLVD STE 101
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-2900
DR. DONALD ELMER BARTLETT JR. M.D.
Family Medicine (Addiction Medicine)
2021 N MYRTLE POINT BLVD STE 101
NORTH MYRTLE BEACH, SC 29582
Horry County (843) 366-2900

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 1609460443. It was assigned to this organization in the NPPES registry on February 23, 2021. The provider is doing business as Mcleod Primary Care North Myrtle Beach.

Where is Mcleod Physician Associates II located?

Mcleod Physician Associates II is located at 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582. The listed phone number is (843) 366-2900.

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 42D2217107) is associated with this NPI, valid through March 17, 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 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.