Individual provider Active NPI

Elizabeth F. Kekacs, APRN, FNP

  • Family Nurse Practitioner
  • N Charleston, SC
National Provider Identifier
1467831024
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19340 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 202
N Charleston, SC 29406-9176
Phone
(843) 572-1200
Fax
(843) 553-0424
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19340 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 202
N Charleston, SC 29406-9176

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 695-6071

Other practice location 1

1203 Old Trolley Rd Ste F
Summerville, SC 29485
Phone (843) 486-0999

Other practice location 2

2001 Laurel St
Columbia, SC 29204-1018
Phone (803) 254-3278

Other practice location 3

725 Long Point Rd
MT Pleasant, SC 29464-8226
Phone (843) 940-8000

Other identifiers 2

IdentifierTypeStateIssuer
19340OtherSCSC LICENSE
NP3386MedicaidSC

Other names 1

  • Elizabeth F. Duff Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109002032 SC Practitioner - Nurse Practitioner 9234449919 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St James Health and Wellness IncGroup PAC ID 1658280334, 13 clinicians

Practice addresses (Care Compare)

1189 Tibwin Rd
MC Clellanville, SC 29458-9405
Phone (843) 887-3929

Hospital & facility affiliations

  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
St. James Health and Wellness Inc. CurrentSince Jun 21, 2022 Accepting new patients
St James Health and Wellness Inc CurrentSince Jun 21, 2022 Accepting new patients
Nasoncare, LLC CurrentSince Jul 1, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 18, 2018 Accepting new patients
Cogent Healthcare of Georgia PC CurrentSince Dec 1, 2015 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 18, 2018 Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

5325 Appian Way
Charleston, SC 29420
Phone (843) 552-0400

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

899 Island Park Dr
Ste 200
Daniel Island, SC 29492
Phone (843) 797-5050

7 S Alliance Dr
Ste 211B
Goose Creek, SC 29445
Phone (843) 553-4383

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

1189 Tibwin Rd
Mc Clellanville, SC 29458
Phone (843) 887-3929

401 N Live Oak Dr
Ste B
Moncks Corner, SC 29461
Phone (843) 761-7884

115 Executive Pkwy
Moncks Corner, SC 29461
Phone (843) 761-2815

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

2233 Northwoods Blvd
North Charleston, SC 29406
Phone (843) 773-9903

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

300 W 4th North St
Summerville, SC 29483
Phone (843) 285-7515

435 N Cedar St
Summerville, SC 29483
Phone (843) 873-1592

809 N Cedar St
Summerville, SC 29483
Phone (843) 851-9440

201 Oakbrook Ln
Ste 255
Summerville, SC 29485
Phone (843) 695-8464

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1467831024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 202",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069176",
            "telephone_number": "843-572-1200",
            "fax_number": "843-553-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Old Trolley Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "29485",
            "country_code": "US",
            "telephone_number": "843-486-0999",
            "fax_number": "843-486-0989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Laurel St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292041018",
            "country_code": "US",
            "telephone_number": "803-254-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Long Point Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294648226",
            "country_code": "US",
            "telephone_number": "843-940-8000",
            "fax_number": "843-940-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEKACS",
        "first_name": "ELIZABETH",
        "middle_name": "F.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "19340",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3386",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DUFF",
            "middle_name": "F.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.