Mackey Family Practice, PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MACKEY FAMILY PRACTICE, PA

Practice address

1025 W Meeting St
Suite 200
Lancaster, SC 29720-2204

Phone

(803) 285-7414

Fax

(803) 283-4329

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith D Shealy, MD

Title

Owner

Phone

(803) 285-7414

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mackey Family Practice, PA

  • Family Medicine Physician
  • Lancaster, SC
  • NPI 1265426167

  Member Of

  NPD member

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1891834420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-285-7414",
            "fax_number": "803-283-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W MEETING ST",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202204",
            "telephone_number": "803-285-7414",
            "fax_number": "803-283-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKEY FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-285-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC127",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Lorek, PA
• Lung Center LLC
• Jasmine Luster, LPC
• Lyfe Integrated Care
• Mackey Family Practice, PA
• Claudia Jeannette Maddox, CNNP
• Mante Pediatrics LLC
• Ebenezer Yaw-Obeng Mante, MD
• Michael James Manwarren II
• Constance Marin

• Rural Health Clinic/Center in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.