NPIMap

Individual provider Active NPI

Keith A Scott, MD

  • Family Medicine Physician
  • Abbeville, SC
National Provider Identifier
1740280718
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21174 Issued in SC
Practice address
901 W Greenwood St
Suite 9
Abbeville, SC 29620-5717
Phone
(864) 366-9681
Fax
(864) 366-5600
NPI assigned
Jul 29, 2005
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21174 SC Primary

Addresses

Primary practice location

901 W Greenwood St
Suite 9
Abbeville, SC 29620-5717

Mailing address

PO Box 968
Abbeville, SC 29620-0968
Phone (864) 366-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120802000731 SC Practitioner - Family Practice 5698683829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-1649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23717ALMDPharmacist
21174SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edcare Consulting LLC CurrentSince Feb 1, 2018 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Abbeville County Memorial Hospital Family Medicine CurrentSince Jun 9, 2012 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

901 W Greenwood St
Ste 9
Abbeville, SC 29620
Phone (864) 366-9681

Interoperability endpoints

  • Direct secure messaging: kscott123290@selfregional.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakelands Nursing and Rehabilitation CenterAbbeville, SC, CCN 425057 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Self Regional Healthcare

    dba Lakelands Nursing and Rehabilitation Center

    • Skilled Nursing Facility
    • Abbeville, SC
    • NPI 1083488183

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1740280718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200968",
            "telephone_number": "864-366-9681",
            "fax_number": "864-366-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GREENWOOD ST",
            "address_2": "SUITE 9",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205717",
            "telephone_number": "864-366-9681",
            "fax_number": "864-366-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

Verify at the official NPI Registry.