Peter P O'Kelly, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

16500 Issued in SC

Practice address

1523 Heritage LN
Florence, SC 29505-3197

Phone

(843) 673-9992

Fax

(843) 673-9996

NPI assigned

Nov 9, 2006

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Loyola University of Chicago, Stritch School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.o.kelly.1@20108.direct.athenahealth.com
• Direct secure messaging: pokelly274855@direct.musc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Healthcare, Inc.

  dba Pee Dee Health Care

  • Federally Qualified Health Center (FQHC)
  • Darlington, SC
  • NPI 1437484862
  Medicare reassignment Care Compare group NPD
• Peter P Okelly MD PA Flor

  • Urology Physician
  • Florence, SC
  • NPI 1083899108
  NPD (past) Authorized official
• Genesis Healthcare, Inc.

  dba Mobile Health Clinic #1

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1881440758
  NPD
• Genesis Healthcare, Inc.

  dba Genesis Healthcare Florence

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1255305280
  NPD (past)
• Genesis Healthcare, Inc.

  dba Olanta Family Care

  • Federally Qualified Health Center (FQHC)
  • Olanta, SC
  • NPI 1255641346
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1184197683
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1033289673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 HERITAGE LN",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053197",
            "telephone_number": "843-673-9992",
            "fax_number": "843-673-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Cashua St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "SC",
            "postal_code": "295323301",
            "country_code": "US",
            "telephone_number": "843-393-7452",
            "fax_number": "843-393-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 S Jones Rd",
            "address_purpose": "LOCATION",
            "city": "Olanta",
            "state": "SC",
            "postal_code": "291149705",
            "country_code": "US",
            "telephone_number": "843-396-9730",
            "fax_number": "843-396-9735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KELLY",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition Iam LLC
• Amadi Ezego Nwankudu
• Barnett Edward O'Dell, MD
• Jason B O'Dell, MD
• James Kevin O'Kelly, MD
• Abby Charis O'Neal, MS, LPC
• Georgann E O'Quinn, MA, MS, LPC, NCC
• Jamie E Ochenduszko, OTR/L
• Kathleen Ann Oconnor, REGISTERED NURSE
• Elizabeth Odom

• Urology Physician in Florence, SC
• Providers in Florence, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.