Active NPI
Kathryn Veazey, MD
- Emergency Medicine Physician
- Mt Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 88705
- Practice address
- 631 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3030 - Phone
- (843) 881-0815
- NPI assigned
- Apr 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 64045 | MT | |
| General Practice Physician | 208D00000X | 88705 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 88705 | SC | Primary |
Addresses
Primary practice location
631 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3030
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kveazey917132@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240306001344 | SC | Practitioner - Emergency Medicine | 7214236249 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Urgent Cares LLC
Practice addresses (Care Compare)
631 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3030
Phone (843) 881-0815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88705 | SC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Urgent Cares LLC | Current | Accepting new patients |
Locations
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
1014 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 556-5585
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
631 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 849-6889
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1477404911
SC
-
- Emergency Medicine Physician
- Mount Pleasant, SC
- NPI 1619271020
SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1235557372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 JOHNNIE DODDS BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643030",
"telephone_number": "843-881-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEAZEY",
"first_name": "KATHRYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-05",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "64045",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "88705",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "88705",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kveazey917132@wm.providencedirect.org",
"affiliation": "N",
"address_1": "500 W Broadway St",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598024096",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.