NPIMap

Individual provider Active NPI

Nikki A Keisler, MD

  • Family Medicine Physician
  • Bluffton, SC
National Provider Identifier
1740441757
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92085 Issued in GA
Practice address
4818 Bluffton Pkwy
Bluffton, SC 29910-4602
Phone
(843) 706-0600
Fax
(833) 916-2116
NPI assigned
Jun 23, 2008
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 LL30834 SC
Family Medicine Physician 207Q00000X 92085 GA Primary

Addresses

Primary practice location

4818 Bluffton Pkwy
Bluffton, SC 29910-4602

Mailing address

955 Ribaut Rd
Bmac Credentialing
Beaufort, SC 29902-5441
Phone (843) 522-5674

Other practice location 1

Beaufort Memorial May River Primary Care
1 Burnt Church Rd, Ste B
Bluffton, SC 29910
Phone (843) 706-2287

Other practice location 2

2959 Sharpsburg McCullum Rd Ste A6
Newnan, GA 30265-2297
Phone (678) 633-3260

Other identifiers 1

IdentifierTypeStateIssuer
308349MedicaidSC

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
I20110818000904 SC Practitioner - Family Practice 0042480568 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, shared by 11 NPIs, 197 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

1 Burnt Church Rd
Suite B
Bluffton, SC 29910-6405
Phone (843) 706-2287

300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404

4818 Bluffton Pkwy
Bluffton, SC 29910-4602
Phone (843) 706-0600

876 Fording Island Rd
Bluffton, SC 29910-8677
Phone (843) 507-8473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL30834SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Prisma Health Medical Group-Midlands Family Medicine Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Prisma Health Medical Group-Midlands Family Medicine CurrentSince Nov 28, 2016 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 28, 2016 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 4, 2023 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

1 Burnt Church Rd
#B
Bluffton, SC 29910
Phone (843) 706-2287

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

4311 Hard Scrabble Rd
Columbia, SC 29229
Phone (803) 419-6334

122 Okatie Center Blvd N
Ste 100
Okatie, SC 29909
Phone (843) 706-2185

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228

Organizations & group practices 9

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 10

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1740441757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5674",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 BLUFFTON PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104602",
            "telephone_number": "843-706-0600",
            "fax_number": "833-916-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BEAUFORT MEMORIAL MAY RIVER PRIMARY CARE",
            "address_2": "1 BURNT CHURCH RD, STE B",
            "address_purpose": "LOCATION",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "843-706-2287",
            "fax_number": "855-299-5692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2959 Sharpsburg McCullum Rd Ste A6",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652297",
            "country_code": "US",
            "telephone_number": "678-633-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEISLER",
        "first_name": "NIKKI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL30834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "92085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308349",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.