MCLEOD PEDIATRICS DILLON: DR. LEWIS
NPI 1912236225
Pediatrics in Dillon, SC

NPI Status: Active since December 15, 2009

Contact Information

207 E MONROE ST
DILLON, SC
ZIP 29536
Phone: (843) 774-6091
Fax: (843) 841-3814

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  • Organization
  • Pediatrics
  • CLIA Number: 42D0883465
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 09-15-2026

About MCLEOD PEDIATRICS DILLON: DR. LEWIS

This page provides the complete NPI Profile along with additional information for Mcleod Pediatrics Dillon: Dr. Lewis, a pediatrician established in Dillon, South Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1912236225 assigned on December 2009. The practitioner's primary taxonomy code is 208000000X with license number 30392 (SC). The provider is registered as an organization and their NPI record was last updated 17 years ago. Mcleod Pediatrics Dillon: Dr. Lewis operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mcleod Pediatrics Dillon: Dr. Lewis. The authorized official of this NPI record is Dane Ficco (Sr Vp)

NPI
1912236225
Provider Legal Name
MCLEOD PHYSICIAN ASSOCIATES II
Other Organization Name
MCLEOD PEDIATRICS DILLON: DR. LEWIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
207 E MONROE ST DILLON, SC 29536
Location Phone
(843) 774-6091
Location Fax
(843) 841-3814
Mailing Address
PO BOX 3239 FLORENCE, SC 29502
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-15-2009
Last Update Date
12-17-2009
Code Navigator

A pediatrician like Mcleod Pediatrics Dillon: Dr. Lewis is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
30392
License State
SC
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

3943 (SC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANE FICCO

Authorized Official Title
SR VP
Authorized Official Phone
(843) 777-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0883465
Facility Type
Rural Health Clinic
Certificate Effective Date
September 16, 2024
Certificate Expiration Date
September 15, 2026
Laboratory Director
DR. JOSEPH WANGEH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mcleod Pediatrics Dillon: Dr. Lewis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912236225, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 4 + 3 + 1 + 2 + 2 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912236225.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
207 E MONROE ST
DILLON, SC 29536
Nurse Practitioner (Gerontology)
207 E MONROE ST
DILLON, SC 29536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912236225, enumerated as an "organization" on December 15, 2009.

The provider is located at 207 E MONROE ST DILLON, SC 29536 and the phone number is (843) 774-6091.

Pediatrics with taxonomy code 208000000X.