Jerry M Keefe, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15359 Issued in SC

Practice address

3424 Shelby Ray CT
Charleston, SC 29414-5838

Phone

(843) 402-6834

Fax

(843) 573-9963

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pee Dee Foot Center, PA

  • Foot & Ankle Surgery Podiatrist
  • Kingstree, SC
  • NPI 1518048404
  NPD (past)
• Williamsburg Regional Hospital

  • Podiatrist
  • Kingstree, SC
  • NPI 1962949933
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1902860935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 HENDERSON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012647",
            "telephone_number": "803-758-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 SHELBY RAY CT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145838",
            "telephone_number": "843-402-6834",
            "fax_number": "843-573-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "JERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153595",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse Marie Keane, MD
• Thomas E Keane, MD
• Brittany Lyn Kear, FNP
• Angela Marie Kearns, LPC-A
• John Thompson Keasler
• Adam Keefer, M.D.
• Ave Keefer, MD
• Andrew P Keegan, MD
• Karlin Keelan, NP
• Julia Paige Keeling

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.