Individual provider Active NPI

Kays Kaysi, M.D.

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1538458864
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34977 Issued in SC
Practice address
115 Brushy Creek Rd
Easley, SC 29642-1120
Phone
(864) 635-0376
Fax
(864) 442-6848
NPI assigned
Apr 7, 2011
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34977 SC Primary
General Practice Physician 208D00000X 272513 NY

Addresses

Primary practice location

115 Brushy Creek Rd
Easley, SC 29642-1120

Mailing address

PO Box 1315
Easley, SC 29641-1315
Phone (864) 635-0376

Other practice location 1

1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 338-6400

Other practice location 2

3015 W Palmetto St
Florence, SC 29501
Phone (843) 777-6870

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114001011 SC Practitioner - Family Practice 2264680941 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227

327 Broad St
Sumter, SC 29150-4152
Phone (803) 773-5227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34977SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center Current Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 26, 2024 Accepting new patients
Carolina Spine Pain LLC CurrentSince Jul 24, 2022 Accepting new patients
Regenesis Organization Community Health Center Family Medicine CurrentSince Sep 26, 2024 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Sep 17, 2014 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 26, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 26, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 26, 2024 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Sep 17, 2014 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Sep 26, 2024 Accepting new patients
Woodruff Road Urgent Care Center, P.C. PastSince Dec 29, 2019 Accepting new patients

Locations

115 Brushy Creek Rd
Easley, SC 29642
Phone (864) 635-0376

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

115 Thomas St
#B
Union, SC 29379

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEHGBD

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1538458864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1315",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296411315",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Family Practice Dr",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124016449",
            "country_code": "US",
            "telephone_number": "845-338-6400",
            "fax_number": "845-338-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3015 W Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "29501",
            "country_code": "US",
            "telephone_number": "843-777-6870",
            "fax_number": "843-777-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYSI",
        "first_name": "KAYS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "34977",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "272513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.