Medical Director Co./Locations/South Carolina

South Carolina Physician Placement

Hire a medical director & collaborating physician in South Carolina.

Get a South Carolina-licensed medical director or collaborating physician matched to your clinic within 24 hours. We draft your practice agreement and protocols, and plans start at $799 a month with no setup fee.

Bolton M. Harris, J.D.
Reviewed and authored byBolton M. Harris, J.D.In-house legal counsel at Medical Director Co.

South Carolina-licensed physicians

24-hour placement

Same-day intro call available

South Carolina, In Detail

What a medical director covers for South Carolina clinics.

South Carolina requires a physician relationship before NPs, PAs, or RNs at a med spa or weight loss clinic can offer medical treatments. The state has no full practice authority, so every NP performing medical acts needs a written practice agreement with a physician. That physician must hold an active, unrestricted South Carolina license and practice in the state. Medical Director Co. matches you with a physician who meets that standard and prepares the paperwork the State Board of Nursing and the Board of Medical Examiners expect.

What slows South Carolina clinics down

01

RN injectors without on-site coverage

South Carolina board guidance requires a physician or APRN on site whenever an RN injects cosmetic Botox or fillers.

02

Paperwork that lapses quietly

Practice agreements need a signed annual review, and physician changes must be reported to the Board of Nursing within 15 business days.

03

Physicians with no open capacity

Each South Carolina physician can work with no more than the equivalent of six full-time NPs and PAs combined, which limits who can take you on.

Why Medical Director Co.

Why clinics choose our South Carolina medical directors.

01

From $799 a Month

Flat monthly pricing with no setup fees and no long-term contract.

02

Matched in 24 Hours

A licensed South Carolina physician within 24 hours, with a same-day intro call available.

03

South Carolina-Specific Paperwork

Practice agreements and scope of practice guidelines built around S.C. Code requirements, not a generic template.

04

Nurse-Owned and Board-Certified

We’re a nurse-owned company, and our physicians are board-certified. Phones are answered until 11pm every night.

SC Physicians From $799

Placed in 24 hours. No long-term contracts.

Who We Serve

Who we serve in South Carolina.

NP

Practice agreements that cover your medical acts, prescribing, and backup consultation.

PA

A supervising physician and Board-approved scope of practice guidelines.

RN

Physician orders, protocols, and on-site coverage planning for cosmetic and IV services.

EST

Physician oversight when your menu adds services that need a medical professional.

The Role

How a medical director helps providers in South Carolina.

For NPs, your physician signs the practice agreement that lists the conditions you treat, the drugs you prescribe, and when you refer, then reviews it with you every year. For PAs, the supervising physician sets your scope of practice guidelines, prescribing level, and chart review percentage with the Board of Medical Examiners. For RN injectors, your physician writes the orders and protocols, and a physician or APRN must be on site for cosmetic Botox and fillers.

State Rules

South Carolina medical director and collaborating physician rules.

NP practice

NP Practice Agreements

Under S.C. Code § 40-33-34, NPs performing medical acts need a written practice agreement with a physician who is readily available in person or by phone or electronic means. The agreement lists the conditions you treat, drugs you can prescribe, and when to refer, and it must be reviewed and signed every year. The Board can request it with 72 hours’ notice, and it audits agreements at random at least every two years.

Prescribing

Prescriptive Authority

NPs can prescribe Schedule III through V drugs listed in their practice agreement. Schedule II non-narcotics are capped at a 30-day supply, and Schedule II narcotics at a 5-day supply unless the patient is in hospice, palliative, or long-term care.

Capacity

Physician Capacity

A physician can work with up to six full-time-equivalent NPs, PAs, CNMs, and CNSs combined under S.C. Code § 40-47-195. The Board of Medical Examiners can approve exceptions.

PA supervision

PA Supervision

PAs practice under scope of practice guidelines approved by the Board of Medical Examiners. The guidelines set prescribing levels, delegated tasks, and the percentage of charts the supervising physician reviews.

RN cosmetic

RN Cosmetic Procedures

RNs can inject cosmetic Botox only with a physician or APRN on site, under a joint advisory opinion of three state boards. For dermal fillers, the supervising physician or APRN must be on site and able to respond within five minutes. An RN can’t perform the initial patient assessment; a physician, PA, or APRN must.

Telehealth

Telehealth

APRNs can practice via telehealth under their practice agreement and must meet the same standard of care as in-person visits. They can’t use telehealth alone to prescribe when a diagnosis requires a physical exam.

Compliance mistakes we help you avoid

Get Compliant Agreements Fast

Practice agreements and delegation protocols drafted for you.

Service Areas

South Carolina service areas.

Medical Director Co. places South Carolina-licensed physicians with clinics statewide, including Charleston, Columbia, Greenville, Mount Pleasant, Summerville, Rock Hill, Spartanburg, and Myrtle Beach. Telehealth practices get physician coverage for patients anywhere in the state.

South Carolina service areas

Statewide

CharlestonColumbiaGreenvilleMount PleasantSummervilleRock HillSpartanburgMyrtle Beach

Get Your SC Quote

$799/ month

Transparent pricing, flexible terms, no setup fees.

Pricing

From $799 a month, no setup fees, flexible terms.

One monthly price, starting at $799, covers your physician match, practice agreement or PA scope of practice guidelines, delegation protocols, and malpractice coverage confirmation. There’s no setup fee and no long-term contract.

How It Works

How to hire a medical director in South Carolina.

01

Book a Consultation

Call or submit the form. Tell us your clinic type, services, and provider team.

02

Get Your Quote

Receive transparent pricing and a compliance plan for your South Carolina clinic.

03

Sign Your Agreement

We prepare your practice agreement or scope of practice guidelines. You review and sign.

04

Start Seeing Patients

Open with physician oversight in place, usually within 24 hours.

Get Started

Get matched in 24 hours.

Ready to talk now?
(214) 227-9886 ↗

Hire a Medical Director or
Collaborating Physician Today

Common Questions

Frequently asked questions.

Any South Carolina med spa offering injectables, lasers, or prescription treatments needs a physician relationship in place. RN injectors also need a physician or APRN on site during cosmetic Botox and filler treatments, under state board advisory opinions. We set up the agreements and protocols that match your staffing model.

South Carolina still requires NPs who perform medical acts to work under a written practice agreement with a physician. Full practice authority bills (H. 3580 and S. 45) were introduced in the 2025 to 2026 session but haven’t become law. Your agreement must be reviewed and signed at least once a year.

NPs can prescribe Schedule III through V drugs when their practice agreement lists them. Schedule II narcotics are capped at a 5-day supply, except for hospice, palliative, and long-term care patients. Schedule II non-narcotics, such as many ADHD medications, allow up to a 30-day supply.

Your collaborating physician has to be readily available, which South Carolina defines as reachable in person, by phone, or electronically. NP practice agreements don’t require on-site presence. RN-performed cosmetic injections are the exception, since those need a physician or APRN on the premises.

South Carolina gives NPs 15 business days to notify the Board of Nursing after changing physicians or practice settings. You’ll also need a new, signed practice agreement to keep performing medical acts. We handle the replacement match and paperwork so your clinic stays open.

Most South Carolina clinics are matched with a licensed physician within 24 hours. A same-day intro call is available, so you can meet your physician before you sign. Your agreements and protocols are drafted as part of the placement.

Start Your SC Clinic

Start your South Carolina clinic today.

South Carolina requires a physician relationship before your team can offer medical treatments, and the right agreement keeps you audit-ready from day one. Medical Director Co. places board-certified, South Carolina-licensed physicians statewide within 24 hours.

Licensed physician oversight in place within 24 hours.

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