Individual provider Active NPI

George C Keough, M.D.

  • Dermatology Physician
  • Pawley's Island, SC
National Provider Identifier
1942286729
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
93326 Issued in SC
Practice address
14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone
(843) 881-4440
Fax
(843) 314-0785
NPI assigned
Dec 22, 2005
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 93326 SC Primary
Dermatology Physician 207N00000X MD0000035098 TN
Procedural Dermatology Physician 207NS0135X MD0000035098 TN

Addresses

Primary practice location

14490 Ocean Hwy
Pawleys Island, SC 29585-4821

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

123 Fox Rd
Knoxville, TN 37922-3369
Phone (865) 690-9467

Other practice location 2

657 Middle Creek Rd Ste 114
Sevierville, TN 37862-5014
Phone (865) 690-9467

Other practice location 3

612 Seacoast Pkwy
MT Pleasant, SC 29464-8247
Phone (843) 881-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20050429000939 TN Practitioner - Dermatology 7618916453 Reassigns benefits to 1 organization
I20241213000702 SC Practitioner - Dermatology 7618916453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone (843) 881-4440

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions264
Removal of nail tissue1-10
Skin biopsy71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93326SCMDDermatology Physician
MD0000035098TNMDDermatology Physician
35098TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Nov 3, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Nov 3, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
East Tennessee Dermatology Group, PC Dermatology PastSince Oct 1, 2012 Accepting new patients

Locations

612 Seacoast Pkwy
Mt Pleasant, SC 29464
Phone (843) 881-4440

14490 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 545-8850

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: gkeough@directaddress.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1942286729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14490 OCEAN HWY",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854821",
            "telephone_number": "843-881-4440",
            "fax_number": "843-314-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Fox Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223369",
            "country_code": "US",
            "telephone_number": "865-690-9467",
            "fax_number": "865-637-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 Middle Creek Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625014",
            "country_code": "US",
            "telephone_number": "865-690-9467",
            "fax_number": "865-637-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Seacoast Pkwy",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294648247",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "GEORGE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "93326",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000035098",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TN",
            "license": "MD0000035098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.