Keith Calvin Gatchell, M.D.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

08799 Issued in SC

Practice address

28373 Hwy.76 East
Clinton, SC 29325

Phone

(864) 833-2733

Fax

(864) 938-3393

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Scddsn

  dba Whitten Center

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Clinton, SC
  • NPI 1982733432
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326164328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MILAM RD",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293256318",
            "telephone_number": "864-938-3335",
            "fax_number": "864-938-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28373 HWY.76 EAST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-833-2733",
            "fax_number": "864-938-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATCHELL",
        "first_name": "KEITH",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "SC",
            "license": "08799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy P Foster, RPTA
• Kayelee Frazao, M.S, CCC-SLP
• Dana Fuller, FNP
• Mason Paige Gambrell
• Paula Garrett, RN
• Gill P. Thomas, OD
• Jessica Alimarie Glenn, PHYSICAL THERAPY ASS
• Wendell D Glenn, MSW
• Will Godfrey, PA-C
• Georges P. Godfrin, NP

• Child Intellectual and/or Developmental Disabilities Respite Care in Clinton, SC
• Providers in Clinton, SC by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.