Organization Active NPI

MFP Work Wellness LLC

  • Occupational Medicine Clinic/Center
  • Lancaster, SC
National Provider Identifier
1750034724
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MFP WORK WELLNESS LLC
Practice address
1025 W Meeting St
Lancaster, SC 29720-2204
Phone
(803) 286-5223
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Keith ShealyNPI 1578557153
Title
Sole MBR
Phone
(803) 286-5223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X NU Primary

Addresses

Primary practice location

1025 W Meeting St
Lancaster, SC 29720-2204

Mailing address

1025 W Meeting St
Lancaster, SC 29720-2204
Phone (803) 286-5223

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@mfpqorkwellness.com
Direct Messaging Address info@mfpqorkwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230224001433 SC Part B Supplier - Clinic/Group Practice 0749653616 Receives reassigned benefits from 3 practitioners
Practice locations: Lancaster, SC

National Provider Directory

National Provider Directory

Locations

1025 W Meeting St
Lancaster, SC 29720
Phone (803) 286-5223

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1750034724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-286-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-286-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFP WORK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "803-286-5223"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mfpqorkwellness.com",
            "affiliation": "N",
            "address_1": "1025 W Meeting St",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297202204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mfpqorkwellness.com",
            "affiliation": "N",
            "address_1": "1025 W Meeting St",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297202204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.