NPIMap

Individual provider Active NPI

Peter Kennedy Kwofie, M.D.

  • Internal Medicine Physician
  • Seneca, SC
National Provider Identifier
1124002118
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21992 Issued in SC
Practice address
115 Eagles Nest Dr
Suite B
Seneca, SC 29678-2762
Phone
(864) 885-2000
Fax
(864) 885-1004
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21992 SC Primary

Addresses

Primary practice location

115 Eagles Nest Dr
Suite B
Seneca, SC 29678-2762

Mailing address

115 Eagles Nest Dr Ste B
Seneca, SC 29678-2762
Phone (864) 885-2000

Other identifiers 2

IdentifierTypeStateIssuer
GP4100MedicaidSC
202232444MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000250 SC Practitioner - Internal MedicinePractitioner - Infectious Disease 8527013770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

115 Eagles Nest Dr
Suite B
Seneca, SC 29678-2762
Phone (864) 885-2000

Hospital & facility affiliations

  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Centerwell Home Health Home health agency, Greenville, SC, CCN 427017
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Haven Medical Services, P.a. Internal Medicine CurrentSince Feb 1, 2005 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Dec 28, 2016 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Dec 28, 2016 Accepting new patients
Keowee Primary Care & Internal Medicine PC Internal Medicine PastSince Jun 1, 2000 Accepting new patients
Golden Corner Internal Medicine PA Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

115 Eagles Nest Dr
Ste B
Seneca, SC 29678
Phone (864) 885-1923

Organizations & group practices 6

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.

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1124002118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAGLES NEST DR STE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782762",
            "telephone_number": "864-885-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAGLES NEST DR",
            "address_2": "SUITE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782762",
            "telephone_number": "864-885-2000",
            "fax_number": "864-885-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOFIE",
        "first_name": "PETER",
        "middle_name": "KENNEDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "21992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4100",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202232444",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.