Active NPI
Kelly Heegard, M.D.
- Nephrology Physician
- Greenville, SC
National Provider Identifier
1538397807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 52383
- Practice address
- 203 Mills Ave
Greenville, SC 29605-4019 - Phone
- (864) 271-1844
- Fax
- (864) 271-2147
- NPI assigned
- Jun 25, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 52383 | SC | Primary |
| Nephrology Physician | 207RN0300X | ME131121 | FL |
Addresses
Primary practice location
203 Mills Ave
Greenville, SC 29605-4019
Mailing address
203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844
Other practice location 1
5934 Berryhill Medical Park Dr # 1
Milton, FL 32570
Phone (850) 623-4771
Other practice location 2
4583 Watkins St
Pace, FL 32571-2511
Phone (850) 889-4152
Other practice location 3
4304 Lancaster Dr
Niceville, FL 32578-4563
Phone (850) 862-2385
Other practice location 4
8880 Navarre Pkwy Ste 101
Navarre, FL 32566-3613
Phone (850) 862-2385
Other practice location 5
14114 Alabama St
Jay, FL 32565-1219
Phone (850) 444-4700
Other practice location 6
1118 Gulf Breeze Pkwy Ste 200
Gulf Breeze, FL 32561-7806
Phone (850) 444-4700
Other practice location 7
319 Green Acres Rd Ste 103
Fort Walton Beach, FL 32547-1170
Phone (850) 862-2385
Other practice location 8
36474A Emerald Coast Pkwy Ste 1102
Destin, FL 32541-3706
Phone (850) 862-2385
Other practice location 9
4415 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 398-6606
Other practice location 10
6001 Industrial Blvd
Century, FL 32535-3312
Phone (850) 444-4700
Other practice location 11
2940 N Blue Angel Pkwy
Pensacola, FL 32506-2925
Phone (850) 444-4700
Other practice location 12
307 Boatner Rd
Ste 114
Eglin AFB, FL 32542-1302
Phone (850) 883-8132
Other practice location 13
221 E Redstone Ave
Crestview, FL 32539-5373
Phone (850) 398-6606
Other practice location 14
1619 Creighton Rd Ste 1
Pensacola, FL 32504
Phone (850) 444-4700
Other practice location 15
121 Commerce Blvd Ste B
Easley, SC 29642-1544
Phone (864) 859-3038
Other practice location 16
1619 Creighton Rd Ste 1
Pensacola, FL 32504
Phone (850) 444-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 523838 | Medicaid | SC | |
| 52383 | Other | SC | SC MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 864-271-2147 |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of South Alabama College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Nephrology PA | Nephrology | Current | Accepting new patients |
| Renal Care Group of the Southeast, Inc. | Past | Accepting new patients | |
| Modern Chiropractic of Florida | Past | Accepting new patients | |
| Carolina ASC LLC | Past | Accepting new patients |
Locations
455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314
803 N Fant St
Ste 2A
Anderson, SC 29621
Phone (864) 225-7401
400 Plaza Cir
Ste H
Clinton, SC 29325
Phone (864) 833-4166
121 Commerce Blvd
Ste B
Easley, SC 29642
Phone (864) 859-3038
406 Tiffany Park
#B
Gaffney, SC 29341
Phone (864) 663-2736
110 Chalmers Rd
Unit B
Greenville, SC 29605
110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200
203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844
108 W Church St
Greer, SC 29650
Phone (864) 469-7733
45 Aaron Tippin Dr
Greer, SC 29650
Phone (864) 848-5555
110B Hospital Dr
Simpsonville, SC 29681
Phone (864) 382-6940
1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 271-1488
Interoperability endpoints
- kheegard239768@direct.ghs.myhfn.org
Organizations & group practices 4
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.
-
- Nephrology Physician
- Greenville, SC
- NPI 1679557516
-
- Ambulatory Surgical Clinic/Center
- Greenville, SC
- NPI 1487400636
-
- Chiropractor
- Pace, FL
- NPI 1154992733
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pensacola, FL
- NPI 1356453195
Hospital & facility affiliations 55
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pendleton, SC
- NPI 1891757969
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Easley, SC
- NPI 1508440991
Dialysis facility
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1538397807",
"addresses": [
{
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},
{
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"telephone_number": "864-271-1844",
"fax_number": "864-271-2147"
}
],
"practiceLocations": [
{
"address_1": "5934 Berryhill Medical Park Dr # 1",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "FL",
"postal_code": "32570",
"country_code": "US",
"telephone_number": "850-623-4771",
"fax_number": "850-623-3938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4583 Watkins St",
"address_purpose": "LOCATION",
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"postal_code": "325712511",
"country_code": "US",
"telephone_number": "850-889-4152",
"fax_number": "850-623-3938",
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"address_type": "DOM"
},
{
"address_1": "4304 Lancaster Dr",
"address_purpose": "LOCATION",
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"state": "FL",
"postal_code": "325784563",
"country_code": "US",
"telephone_number": "850-862-2385",
"fax_number": "850-862-0482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8880 Navarre Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Navarre",
"state": "FL",
"postal_code": "325663613",
"country_code": "US",
"telephone_number": "850-862-2385",
"fax_number": "850-862-0482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14114 Alabama St",
"address_purpose": "LOCATION",
"city": "Jay",
"state": "FL",
"postal_code": "325651219",
"country_code": "US",
"telephone_number": "850-444-4700",
"fax_number": "850-434-8144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1118 Gulf Breeze Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325617806",
"country_code": "US",
"telephone_number": "850-444-4700",
"fax_number": "850-434-8144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 Green Acres Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325471170",
"country_code": "US",
"telephone_number": "850-862-2385",
"fax_number": "850-862-0482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36474A Emerald Coast Pkwy Ste 1102",
"address_purpose": "LOCATION",
"city": "Destin",
"state": "FL",
"postal_code": "325413706",
"country_code": "US",
"telephone_number": "850-862-2385",
"fax_number": "850-862-0482",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4415 US Highway 331 S",
"address_purpose": "LOCATION",
"city": "Defuniak Springs",
"state": "FL",
"postal_code": "324356307",
"country_code": "US",
"telephone_number": "850-398-6606",
"fax_number": "850-398-6424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6001 Industrial Blvd",
"address_purpose": "LOCATION",
"city": "Century",
"state": "FL",
"postal_code": "325353312",
"country_code": "US",
"telephone_number": "850-444-4700",
"fax_number": "850-434-8144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2940 N Blue Angel Pkwy",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325062925",
"country_code": "US",
"telephone_number": "850-444-4700",
"fax_number": "850-434-8144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "307 Boatner Rd",
"address_2": "Ste 114",
"address_purpose": "LOCATION",
"city": "Eglin AFB",
"state": "FL",
"postal_code": "325421302",
"country_code": "US",
"telephone_number": "850-883-8132",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 E Redstone Ave",
"address_purpose": "LOCATION",
"city": "Crestview",
"state": "FL",
"postal_code": "325395373",
"country_code": "US",
"telephone_number": "850-398-6606",
"fax_number": "850-398-6424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1619 Creighton Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "32504",
"country_code": "US",
"telephone_number": "850-444-4700",
"fax_number": "850-434-8144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 Commerce Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Easley",
"state": "SC",
"postal_code": "296421544",
"country_code": "US",
"telephone_number": "864-859-3038",
"fax_number": "864-271-2147",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1619 Creighton Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "32504",
"country_code": "US",
"telephone_number": "850-444-4700",
"fax_number": "850-434-8144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEEGARD",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "52383",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME131121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "523838",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE",
"identifier": "52383",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "864-271-2147",
"affiliation": "N",
"address_1": "203 Mills Ave",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296054019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.