Medical Director Co./Locations/South Carolina
South Carolina Collaborating Physicians
Hire a Collaborating Physician in South Carolina
SC-licensed physicians matched to your clinic in 24 hours. From $799/month. No setup fees.
- 24-hour matching
Matched in 24 Hours
SC-licensed physicians. No setup fees.
Every South Carolina placement includes:
- An SC-licensed physician actively practicing in the state
- A practice agreement (NPs) or scope of practice guidelines (PAs)
- 24-hour matching with a same-day intro call
- $799 per month and a $0 setup fee
- Malpractice coverage confirmation
Your Physician
What a collaborating physician in South Carolina handles for your clinic.
South Carolina requires NPs to work under a written practice agreement with a physician and PAs to work under board-approved scope of practice guidelines. Medical Director Co. matches you with a collaborating physician in South Carolina within 24 hours, and that physician holds an active SC license and practices in the state. Your physician signs your agreement, defines what you can prescribe, reviews charts, and stays reachable for consultation. Plans start at $799 a month and include the paperwork and a same-day intro call.
Common Hurdles
Where South Carolina clinics get stuck.
Finding a physician whose practice matches yours
SC bars physicians from signing off on medical acts outside their usual practice or training, so a family physician may not be able to back your aesthetics or weight-loss services.
Physicians at capacity
A physician who already works with six NPs and PAs can’t take you on.
Agreements that fail an audit
Both boards can demand your practice agreement within 72 hours and expect it to list your specific drugs and procedures.
Why Medical Director Co.
Why South Carolina practitioners choose Medical Director Co.
Affordable pricing
From $799 a month. No setup fees or long-term contracts.
24-hour matching
An SC-licensed physician within 24 hours, plus a same-day intro call.
A physician who fits your scope
SC law requires your physician’s own practice to cover your services, and we match on that.
Complete paperwork
We draft your practice agreement or scope of practice guidelines and confirm your malpractice coverage.
Nurse-owned
Medical Director Co. is nurse-owned and was founded by Blake DeWitt. We write agreements from the practitioner’s side of the table.
Late-night support
Our team answers the phone until 11 p.m. every night.
Skip the Physician Search
Matched with an SC-licensed physician within 24 hours.
Who We Serve
Who we serve in South Carolina.
Practice agreements for nurse practitioners under S.C. Code § 40-33-34, with the prescriptive authority your specialty needs.
Scope of practice guidelines for PAs, ready for Board of Medical Examiners approval, with a supervising physician in your specialty.
Physician oversight for RNs running IV hydration, aesthetics, and wellness services on patient-specific orders.
Physician oversight for estheticians adding medical-grade services. SC board guidance limits Botox injections to practitioners licensed in medicine, dentistry, or nursing, so we help you staff around that rule.
SC Rules
South Carolina collaborating physician rules for NPs, PAs, and RNs.
NP Practice Agreements (S.C. Code § 40-33-34)
South Carolina’s 2018 APRN law (Act No. 234) replaced protocols with written practice agreements. Your physician must hold an active, unrestricted SC license and practice physically within the state, and the old 45-mile radius no longer applies. The agreement must list the specific drugs you can prescribe, when the physician evaluates patients or takes referrals, and how chart reviews and other quality checks happen. Either board can audit it, according to the Boards’ joint FAQ on the APRN law.
PA Scope of Practice Guidelines (Act No. 32 of 2019)
PAs work under scope of practice guidelines with a supervising physician, approved by the Board of Medical Examiners. You can start practicing 10 business days after submitting your guidelines while approval is pending. A PA with less than two years of continuous practice, or one changing specialties, stays on site with the physician for at least 60 days unless the physician waives part of that period, per the Board of Medical Examiners’ PA Act summary.
Ratios and Prescribing Limits
A physician can sign agreements for up to six full-time-equivalent APRNs and PAs and work with no more than six at a time. NPs can prescribe Schedule II narcotics for up to five days, and a refill needs the physician’s written agreement outside hospice and palliative care. Schedule II non-narcotics cap at a 30-day supply.
Botox and Other Injectables
The Boards of Dentistry, Medical Examiners, and Nursing require a bona fide practitioner-patient relationship before any neuromodulator injection. An RN can inject cosmetic Botox only with a physician or APRN on site, while NPs and PAs inject under their own agreement or guidelines. The full rules are in the joint advisory opinion on neuromodulators.
IV Hydration
A physician, PA, or APRN must personally evaluate each patient and write a prescription before an RN starts an IV. Standing orders don’t meet that standard under the boards’ 2023 joint advisory opinion on retail IV therapy. Clinics that aren’t 100 percent practitioner-owned also need a Board of Pharmacy permit to store prescription drugs.
Telehealth
NPs and PAs can practice through telemedicine when their agreement or guidelines authorize it. Prescribing Schedule II or III drugs, or what the boards call lifestyle medications, through telemedicine needs prior board approval.
South Carolina is still a restricted-practice state. Full practice authority bills, including S. 45 and H. 3580, have not become law.
Common compliance mistakes we prevent
- Using a generic template instead of an agreement that lists your actual drugs and procedures
- Pairing with a physician whose practice doesn’t cover your services
- Running IV hydration on standing orders instead of patient-specific prescriptions
- Letting an RN inject Botox without a physician or APRN on site
Get a Compliant Agreement
Practice agreements built for South Carolina boards.
Service Niches
Our South Carolina service niches.
Med Spas
Med spa collaborating physicians for Botox, fillers, microneedling, and laser services under SC injectable guidance.
Weight Loss Clinics
Weight loss clinic oversight for GLP-1 programs, with prescribing authority written into your agreement.
IV Hydration and Mobile IV
IV hydration clinic physicians who evaluate patients and prescribe in line with the 2023 joint opinion.
Hormone and Peptide Therapy
Hormone therapy clinic oversight for testosterone, HRT, and peptide protocols.
Telehealth
Telemedicine collaborating physicians with statewide virtual oversight.
Pain Management
Pain management clinic oversight with controlled substance protocols that respect SC Schedule II limits.
Service Areas
South Carolina service areas.
Your physician can practice anywhere in South Carolina, so we place collaborating physicians with clinics statewide, including Charleston, North Charleston, Mount Pleasant, Summerville, Columbia, Greenville, Spartanburg, Greer, Rock Hill, Myrtle Beach, Florence, Aiken, Hilton Head Island, Bluffton, and Beaufort.
Pricing
From $799 a month, no setup fees, no long-term contracts.
Your plan covers an SC-licensed physician, chart review, protocol oversight, and compliance documentation. Call (214) 227-9886 or request a quote for your clinic.
Common Questions
Frequently asked questions.
Do nurse practitioners need a collaborating physician in South Carolina?
South Carolina NPs who perform medical acts must work under a written practice agreement with a physician, per S.C. Code § 40-33-34. The physician needs an active, unrestricted SC license and must practice within the state. Your agreement also has to list the specific drugs you’re authorized to prescribe.
Do physician assistants need a supervising physician in South Carolina?
Every SC PA practices under scope of practice guidelines with a supervising physician, approved by the Board of Medical Examiners. You can start practicing 10 business days after submitting your guidelines while approval is pending. We prepare the guidelines and match you with a physician in your specialty.
Can my collaborating physician work remotely?
South Carolina dropped its 45-mile radius rule in 2018, so your physician can practice anywhere in the state. They must be reachable in person, by phone, or electronically for consultation. Cosmetic Botox injections by an RN are the exception and require a physician or APRN on site.
Can an RN run an IV hydration clinic in South Carolina?
An RN can give IV therapy only after a physician, PA, or APRN personally evaluates the patient and writes a prescription. The boards’ 2023 joint opinion says standing orders alone don’t meet that standard. Clinics not fully owned by practitioners also need a Board of Pharmacy permit to store prescription drugs.
How fast can I get a collaborating physician in South Carolina?
Most South Carolina matches close within 24 hours, with a same-day intro call available. We draft your practice agreement or scope of practice guidelines once you approve the match. You review and sign everything before oversight begins.
What’s included in the $799 monthly plan?
Your plan covers an SC-licensed physician, chart review, protocol oversight, and compliance documentation. We also confirm malpractice coverage for your placement. You pay no setup fees and sign no long-term contract.
Will South Carolina NPs get full practice authority soon?
Bills such as S. 45 and H. 3580 proposed full practice authority after 2,000 clinical hours, but neither has become law. NP advocates have said they plan to refile in 2027. Until the law changes, every NP performing medical acts needs a current practice agreement.
How It Works
How to hire a collaborating physician in South Carolina.
Book a consultation.
Call (214) 227-9886 or request a match online. Tell us your license type, clinic, and services.
Meet your physician.
We match you within 24 hours and set up a same-day intro call.
Sign your agreement.
We draft the practice agreement or scope of practice guidelines, and you review and sign.
Start seeing patients.
Your oversight is in place, and we update your agreement as your services grow.
Start Your SC Collaboration
Start your South Carolina collaboration today.
A collaborating physician in South Carolina is a legal requirement for most NP, PA, and RN-led clinics, and the right match depends on your services. Tell us what you offer, and we’ll match you with an SC-licensed physician within 24 hours.
Call us: (214) 227-9886
Email us: info@medicaldirectorco.com
Get Started
Get matched with a South Carolina collaborating physician.
- An SC-licensed physician actively practicing in the state
- 24-hour matching with a same-day intro call
- $799 per month and a $0 setup fee
- Malpractice coverage confirmation
Ready to talk now?
(214) 227-9886 ↗
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