KEELEY PSYCHIATRY OF SOUTH CAROLINA, LLC
NPI 1356039721
Nurse Practitioner - Psychiatric/Mental Health in Greenville, SC

Q: What is Keeley Psychiatry Of South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 25, 2023

128 MILLPORT CIR STE 200, GREENVILLE, SC 29607(864) 202-4797(240) 201-3033 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Jun 12, 2024, Aug 31, 2023 (3 updates tracked since 2023).

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About Keeley Psychiatry Of South Carolina, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELEY PSYCHIATRY OF SOUTH CAROLINA, LLC (NPI 1356039721) is a healthcare organization registered as a psychiatric/mental health in Greenville, South Carolina and active in the NPI registry since April 2023. The organization lists Shannon Jean Sozzi, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1356039721

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameKEELEY PSYCHIATRY OF SOUTH CAROLINA, LLC

Location Address128 MILLPORT CIR STE 200Greenville, SC 29607-5573

Mailing Address128 Millport Cir Ste 200Greenville, SC 29607-5573 · (240) 877-9865 · Fax (240) 201-3033

Phone(864) 202-4797

Fax(240) 201-3033

Organization SubpartNo

Authorized OfficialShannon Jean SozziSole Proprietor · (240) 877-9865

Enumeration DateApril 25, 2023

Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1356039721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

128 MILLPORT CIR STE 200, Greenville, SC 29607

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keeley Psychiatry Of South Carolina, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keeley Psychiatry Of South Carolina, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Sozzi, PMHNP

Nurse Practitioner

NPI 1538578232

128 MILLPORT CIR STE 200
Greenville, SC 29607

(240) 877-9865

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Keeley Psychiatry Of South Carolina, LLC's NPI number?

The NPI number for Keeley Psychiatry Of South Carolina, LLC is 1356039721. It was assigned to this organization in the NPPES registry on April 25, 2023.

Where is Keeley Psychiatry Of South Carolina, LLC located?

Keeley Psychiatry Of South Carolina, LLC is located at 128 Millport Cir Ste 200, Greenville, SC 29607. The listed phone number is (864) 202-4797.

What is Keeley Psychiatry Of South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keeley Psychiatry Of South Carolina, LLC enrolled in Medicare?

Yes. Keeley Psychiatry Of South Carolina, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keeley Psychiatry Of South Carolina, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Keeley Psychiatry Of South Carolina, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Keeley Psychiatry Of South Carolina, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Keeley Psychiatry Of South Carolina, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keeley Psychiatry Of South Carolina, LLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.