Individual provider Active NPI

Emmanuel Otu Quaye, M.D.

  • Internal Medicine Physician
  • Lancaster, SC
National Provider Identifier
1043249949
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22957 Issued in SC
Practice address
800 N White St
Lancaster, SC 29720-2177
Phone
(803) 374-4460
Fax
(954) 635-5513
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME160461 FL
Internal Medicine Physician 207R00000X 22957 SC Primary

Addresses

Primary practice location

800 N White St
Lancaster, SC 29720-2177

Mailing address

3345 Burns Rd Ste 202
Palm Beach Gardens, FL 33410-4305
Phone (954) 638-8615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250807001400 GA Practitioner - Internal Medicine 8628023603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME160461FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qcpi-Villagemd, PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Primary Care of Hartsville Internal Medicine Past Accepting new patients
Morehouse Healthcare, Inc. Internal Medicine PastSince Jul 1, 2012 Accepting new patients
KB Management Services LLC Past Accepting new patients

Locations

465 Winn Way
Ste 100
Decatur, GA 30030
Phone (404) 299-5209

1805 Parke Plaza Cir
Ste 101
Stone Mtn, GA 30087
Phone (770) 469-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7869/brand/1/csg/1/fhir/r4
  • Direct secure messaging: emmanuel.quaye.1@18007.direct.athenahealth.com
  • Direct secure messaging: emmanuel.quaye.p1@direct.ncfmc.nextgenshare.com
  • Direct secure messaging: emmanuel.quaye.1@17752.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1043249949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104305",
            "telephone_number": "954-638-8615",
            "fax_number": "954-635-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N WHITE ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202177",
            "telephone_number": "803-374-4460",
            "fax_number": "954-635-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAYE",
        "first_name": "EMMANUEL",
        "middle_name": "OTU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME160461",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "22957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.