Active NPI
Keegan Mullins, MD
- Emergency Medicine Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 89262
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME150171 | FL | MD | Emergency Medicine Physician |
| MD-55839 | IA | MD | General Practice Physician |
| 80917 | MN | MD | General Practice Physician |
| 35982 | MS | MD | General Practice Physician |
| 28236 | NV | MD | General Practice Physician |
| 17850 | SD | MD | General Practice Physician |
| 14341-320 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psynergy Health Med PLLC | Current | Accepting new patients | |
| Broad River Physicians Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Central Florida LLP | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Summerville, SC
- NPI 1295443000
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.