EAGERTON FAMILY PRACTICE
NPI 1770936411
Family Medicine in Manning, SC

Q: What is Mcleod Physician Associates II's NPI number?

The NPI number for Mcleod Physician Associates II is 1770936411. It was assigned to this organization in the NPPES registry on July 18, 2016. The provider is doing business as Eagerton Family Practice.

Q: What is Mcleod Physician Associates II's specialty?

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

Active since July 18, 2016CLIA 42D0248960 · Microscopy

200 E HOSPITAL ST, MANNING, SC 29102(803) 433-0439(843) 433-9840 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Eagerton Family Practice NPPES

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

EAGERTON FAMILY PRACTICE (NPI 1770936411) is a healthcare organization registered as a family medicine in Manning, South Carolina and active in the NPI registry since July 2016. The organization holds a CLIA Microscopy certificate valid through March 25, 2028 and lists Dane P Ficco, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1770936411

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMCLEOD PHYSICIAN ASSOCIATES II

Location Address200 E HOSPITAL STManning, SC 29102-3160

Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7487 · Fax (843) 777-7102

Phone(803) 433-0439

Fax(843) 433-9840

Organization SubpartYesParent: Mcleod Health

Authorized OfficialDane P FiccoSenior Vice President · (843) 777-7010

Enumeration DateJuly 18, 2016

✔ NPI 1770936411 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.

200 E HOSPITAL ST, Manning, SC 29102

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Other Names 1

Doing Business AsEagerton Family Practice

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0248960

Eagerton Family Practice · Manning, SC

Active · expires Mar 25, 2028

CLIA Number42D0248960

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2026

Certificate Expiration DateMarch 25, 2028

Laboratory DirectorDr. Robert S. Eagerton

Laboratory Phone(803) 433-0439

Laboratory LocationEagerton Family Practice200 East Hospital Street, Manning, SC 29102

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 7

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

CLARENDON MEMORIAL HOSPITAL

Clinic/Center (Rural Health)