Individual provider Active NPI

Keegan Mullins, MD

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1851887624
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
89262 Issued in SC
Practice address
316 Calhoun St
Charleston, SC 29401-1113
Phone
(843) 724-2000
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 80917 MN
Emergency Medicine Physician 207P00000X 17850 SD
Emergency Medicine Physician 207P00000X ME150171 FL
General Practice Physician 208D00000X 28236 NV
Emergency Medicine Physician 207P00000X MD-55839 IA
Emergency Medicine Physician 207P00000X 89262 SC Primary
General Practice Physician 208D00000X 35982 MS
Emergency Medicine Physician 207P00000X 28236 NV
General Practice Physician 208D00000X 17850 SD
General Practice Physician 208D00000X 89262 SC
General Practice Physician 208D00000X MD-55839 IA
General Practice Physician 208D00000X ME150171 FL
Emergency Medicine Physician 207P00000X 14341-320 WI
General Practice Physician 208D00000X 14341-320 WI
General Practice Physician 208D00000X 80917 MN

Addresses

Primary practice location

316 Calhoun St
Charleston, SC 29401-1113

Mailing address

58 Hanover St
Charleston, SC 29403-4824
Phone (513) 673-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210623001261 FL Practitioner - Emergency Medicine 6901207323 Reassigns benefits to 1 organization
I20230328001988 SC Practitioner - Emergency Medicine 6901207323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River Physicians Group, LLCGroup PAC ID 8123385143, 70 clinicians

Practice addresses (Care Compare)

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 606-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150171FLMDEmergency Medicine Physician
MD-55839IAMDGeneral Practice Physician
80917MNMDGeneral Practice Physician
35982MSMDGeneral Practice Physician
28236NVMDGeneral Practice Physician
17850SDMDGeneral Practice Physician
14341-320WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Health Med PLLC CurrentSince Jan 24, 2025 Accepting new patients
Broad River Physicians Group, LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

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

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

730 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 572-9211

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088

7832 Rivers Ave
North Charleston, SC 29406
Phone (843) 824-8733

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

101 Sawmill Centre Dr
Summerville, SC 29483

Organizations & group practices 3

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 4

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1851887624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HANOVER ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034824",
            "telephone_number": "513-673-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KEEGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "80917",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "17850",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME150171",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "28236",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-55839",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "89262",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "35982",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "28236",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SD",
            "license": "17850",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "89262",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "MD-55839",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME150171",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "14341-320",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "14341-320",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "80917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.