Active NPI
KDS Consultants, LLC
- Family Medicine Physician
- Lancaster, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10924
- Legal business name
- KDS CONSULTANTS, LLC
- Practice address
- 1025 W Meeting St Ste 200
Lancaster, SC 29720-2246 - Phone
- (803) 285-1082
- Fax
- (803) 283-4329
- NPI assigned
- Jan 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keith D Shealy, MD
- Title
- President
- Phone
- (803) 285-1082
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10924 | SC | Primary |
Addresses
Primary practice location
1025 W Meeting St Ste 200
Lancaster, SC 29720-2246
Mailing address
1025 W Meeting St Ste 200
Lancaster, SC 29720-2246
Phone (803) 285-1082
Other practice location 1
800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 285-1082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109242 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- Lancaster, SC
- NPI 1437122926
O20180530001978
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lancaster, SC
- NPI 1578557153
-
- Family Medicine Physician
- Lancaster, SC
- NPI 1013901925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1366940959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W MEETING ST STE 200",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202246",
"telephone_number": "803-285-1082",
"fax_number": "803-283-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W MEETING ST STE 200",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202246",
"telephone_number": "803-285-1082",
"fax_number": "803-283-4329"
}
],
"practiceLocations": [
{
"address_1": "800 W Meeting St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "SC",
"postal_code": "297202202",
"country_code": "US",
"telephone_number": "803-285-1082",
"fax_number": "803-283-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KDS CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-29",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "SHEALY",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-285-1082",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "10924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109242",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.