| Mackey Family Practice, PA | |
|
1025 W Meeting St Suite 200 Lancaster SC 29720-2204 | |
| (803) 285-7414 | |
| (803) 283-4329 |
| Full Name | Mackey Family Practice, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1025 W Meeting St, Lancaster, South Carolina |
| Authorized Official Name and Position | Keith D Shealy (OWNER) |
| Authorized Official Contact | 8032857414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackey Family Practice, PA 1025 W Meeting St Suite 200 Lancaster SC 29720-2204 Ph: (803) 285-7414 | Mackey Family Practice, PA 1025 W Meeting St Suite 200 Lancaster SC 29720-2204 Ph: (803) 285-7414 |
| NPI Number | 1265426167 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 7911816046 |
|---|---|
| Medicare Enrollment ID | O20040219000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265426167 | NPI | - | NPPES |
| GP0641 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363AM0700X | Physician Assistant - Medical | 2674 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 20303 (South Carolina) | Secondary |
| Provider Name | Keith D Shealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578557153 PECOS PAC ID: 9739098864 Enrollment ID: I20100204000876 |
| Provider Name | Frank Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801880711 PECOS PAC ID: 5991832933 Enrollment ID: I20100422000331 |
| Provider Name | Steven Morrow Culp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013901925 PECOS PAC ID: 0648189779 Enrollment ID: I20100422000370 |
| Provider Name | David L Demby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396285557 PECOS PAC ID: 6608146543 Enrollment ID: I20170725003353 |
| Provider Name | Cassie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063989317 PECOS PAC ID: 8527309954 Enrollment ID: I20190411000381 |
| Provider Name | Stephanie Lane Purser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518749688 PECOS PAC ID: 1052841285 Enrollment ID: I20250204000418 |
| Provider Name | Susan Anne Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053382267 PECOS PAC ID: 7315969482 Enrollment ID: I20250220000552 |
| Provider Name | Emily Outen Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215579040 PECOS PAC ID: 1355861311 Enrollment ID: I20250220001157 |
| Provider Name | Kayce Marie Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821649989 PECOS PAC ID: 7416479878 Enrollment ID: I20250314003171 |
| Provider Name | Harley Addison Kennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366269797 PECOS PAC ID: 7315446481 Enrollment ID: I20250815002551 |
Carolina Urgent & Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Highway 9 Bypass, Lancaster, SC 29720 Phone: 803-285-2225 Fax: 803-285-2333 |
Palmetto Tri-county Internal Medicine, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Meeting St, Lancaster, SC 29720 Phone: 803-286-4666 Fax: 803-283-1951 |
North Central Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 Phone: 803-285-7456 |
Ovp Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Catawba St, Lancaster, SC 29720 Phone: 304-429-1088 Fax: 304-429-3109 |
Catawba Gastroenterology PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Healthcare Dr, Lancaster, SC 29720 Phone: 803-286-9963 Fax: 803-283-6330 |
Plexus Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 N White St, Lancaster, SC 29720 Phone: 803-285-2273 Fax: 803-459-1547 |