MACKEY FAMILY PRACTICE, PA
NPI 1265426167
Family Medicine in Lancaster, SC
About Mackey Family Practice, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKEY FAMILY PRACTICE, PA (NPI 1265426167) is a healthcare organization registered as a family medicine in Lancaster, South Carolina and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Indian Land, and lists Keith D Shealy, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mackey Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Mackey Family Practice, PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 42D0860669
Liberty Doctors Dba Mackey Family Practice PA · Lancaster, SCCertificate of Waiver 42D0986094
Liberty Doctors Dba Mackey Family Practice · Indian Land, SCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mackey Family Practice, PA's NPI number?
The NPI number for Mackey Family Practice, PA is 1265426167. It was assigned to this organization in the NPPES registry on September 7, 2005.
Where is Mackey Family Practice, PA located?
Mackey Family Practice, PA is located at 1025 W Meeting St Suite 200, Lancaster, SC 29720. The listed phone number is (803) 285-7414.
What is Mackey Family Practice, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mackey Family Practice, PA enrolled in Medicare?
Yes. Mackey Family Practice, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mackey Family Practice, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Mackey Family Practice, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (3). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mackey Family Practice, PA hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Mackey Family Practice, PA was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mackey Family Practice, Pa · NPI 1265426167
Family Medicine organization in Lancaster, South Carolina. Organization record, active in the CMS NPPES registry since September 7, 2005.
## Identity
- **NPI:** 1265426167 (Entity type: Organization)
- **Enumerated:** September 7, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Keith Shealy, OWNER
## Practice location
- **Address:** 1025 W MEETING ST, SUITE 200, Lancaster, SC 29720-2204
- **Phone:** (803) 285-7414 · **Fax:** (803) 283-4329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (3); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2023
- **Other identifiers:** Medicaid GP0641 (SC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265426167) · Data from the CMS NPPES public registry.