Kevin Patrick Tracy, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

14815 Issued in SC

Practice address

1770 Skylyn Dr
Spartanburg, SC 29307-1045

Phone

(864) 582-7892

Fax

(864) 582-1582

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Providence House Calls LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rock Hill, SC
  • NPI 1689912495

  SC

  Medicare reassignment NPD
• Mary Black Health System LLC

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1083640981
  NPD (past)
• Spartanburg Hospital for Restorative Care

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1649293580
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1215993159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847827",
            "telephone_number": "864-253-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-582-7892",
            "fax_number": "864-582-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "14815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00386917",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148156",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Toney, BSW
• Kelsey Nichole Toole, LMFT-A
• Barbara Toothman, R.D.
• Total Family Care Agency LLC.
• Daniel Christopher Touma, MD
• Traditions Hospice of Greenville, LLC
• Traditions Hospice of Greenville, LLC
• Kristen B Trammell, PHARMD
• Duc H Tran, M.D.
• Robert Transiskus, EMT

• All providers in Spartanburg, SC
• Rheumatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.