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MACKEY FAMILY PRACTICE, PA
NPI 1497603252
Family Medicine in Indian Land, SC

Active since March 18, 2026CLIA 42D0986094 · Waiver
8351 CHARLOTTE HWY STE 200, INDIAN LAND, SC 29707(803) 285-7414(803) 283-4329 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackey Family Practice, Pa NPPES

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

MACKEY FAMILY PRACTICE, PA (NPI 1497603252) is a healthcare organization registered as a family medicine in Indian Land, South Carolina and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Keith D Shealy, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1497603252
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMACKEY FAMILY PRACTICE, PA
Location Address8351 CHARLOTTE HWY STE 200Indian Land, SC 29707-6553
Mailing Address8351 Charlotte Hwy Ste 200Indian Land, SC 29707-6553
Phone(803) 285-7414
Fax(803) 283-4329
Organization SubpartNo
Authorized OfficialKeith D ShealyOwner/physician · (803) 285-7414
Enumeration DateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1497603252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8351 CHARLOTTE HWY STE 200, Indian Land, SC 29707
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 42D0986094

Liberty Doctors Dba Mackey Family Practice · Indian Land, SC
Active · expires Apr 24, 2027
CLIA Number42D0986094
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorKeith D. Shealy
Laboratory Phone(803) 548-4114
Laboratory LocationLiberty Doctors Dba Mackey Family Practice8351 Charlotte Highway, Indian Land, SC 29707
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN ANNE ROBINSON C-FNP
Nurse Practitioner
8351 CHARLOTTE HWY STE 200
INDIAN LAND, SC 29707
Lancaster County (803) 285-7414
MRS. KAYCE MARIE HOOVER NP-C
Nurse Practitioner
8351 CHARLOTTE HWY STE 200
INDIAN LAND, SC 29707
Lancaster County (803) 285-7414

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 Mackey Family Practice, PA's NPI number?

The NPI number for Mackey Family Practice, PA is 1497603252. It was assigned to this organization in the NPPES registry on March 18, 2026.

Where is Mackey Family Practice, PA located?

Mackey Family Practice, PA is located at 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707. 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.

Does Mackey Family Practice, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0986094) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mackey Family Practice, PA was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.