NPIMap

Individual provider Active NPI

Carson McCall Keck, M.D.

  • Interventional Cardiology Physician
  • Myrtle Beach, SC
National Provider Identifier
1750779443
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39634 Issued in SC
Practice address
920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Phone
(843) 497-7772
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39634 SC
Interventional Cardiology Physician 207RI0011X 39634 SC Primary
Internal Medicine Physician 207R00000X LL39634 SC

Addresses

Primary practice location

920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183

Mailing address

920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Phone (843) 497-7772

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
I20190625003867 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547549644 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Mercer University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Surgical Specialists LLCGroup PAC ID 4082770656, 57 clinicians

Practice addresses (Care Compare)

920 Doug White Dr
Suite 510
Myrtle Beach, SC 29572-4183
Phone (843) 497-7772

Hospital & facility affiliations

  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL39634SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Group Services, LLC CurrentSince Jan 20, 2023 Accepting new patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince May 9, 2019 Accepting new patients
24 On Physicians of SC, LLC CurrentSince Oct 1, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 7, 2019 Accepting new patients
Grand Strand Surgical Specialists, LLC CurrentSince Aug 12, 2024 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network Internal Medicine CurrentSince Aug 7, 2019 Accepting new patients

Locations

169 Ashley Ave
Rm 202
Charleston, SC 29425
Phone (843) 792-0192

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

920 Doug White Dr
Ste 510
Myrtle Beach, SC 29572
Phone (843) 497-7772

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: carson.keck@hca5.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1750779443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 510",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724183",
            "telephone_number": "843-497-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 510",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724183",
            "telephone_number": "843-497-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "CARSON",
        "middle_name": "MCCALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "39634",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "39634",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL39634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.