Active NPI
Mackey Family Practice, PA
- Rural Health Clinic/Center
- Indian Land, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MACKEY FAMILY PRACTICE, PA
- Practice address
- 8351 Charlotte Hwy
Suite 200
Indian Land, SC 29707-6552 - Phone
- (803) 396-5368
- Fax
- (803) 396-5350
- NPI assigned
- Oct 4, 2011
- Last updated
- Oct 10, 2023
- Organization subpart
- Yes
- Parent organization
- MACKEY FAMILY PRACTICE, PA
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, M. D.
- Title
- President
- Phone
- (803) 285-7414
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
8351 Charlotte Hwy
Suite 200
Indian Land, SC 29707-6552
Mailing address
8351 Charlotte Hwy
Suite 200
Indian Land, SC 29707-6552
Phone (803) 396-5368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHC211 | Medicaid | SC |
National Provider Directory
National Provider Directory- Part of
- Mackey Family Practice PA
Locations
8351 Charlotte Hwy
Ste 200
Indian Land, SC 29707
Phone (803) 285-1082
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lancaster, SC
- NPI 1578557153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1700160157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8351 CHARLOTTE HWY",
"address_2": "SUITE 200",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297076552",
"telephone_number": "803-396-5368",
"fax_number": "803-396-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8351 CHARLOTTE HWY",
"address_2": "SUITE 200",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297076552",
"telephone_number": "803-396-5368",
"fax_number": "803-396-5350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACKEY FAMILY PRACTICE, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MACKEY FAMILY PRACTICE, PA",
"enumeration_date": "2011-10-04",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"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": "803-285-7414",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHC211",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.