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: July 19, 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
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

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0986094
Facility Type
Physician Office
Certificate Effective Date
April 25, 2025
Certificate Expiration Date
April 24, 2027
Laboratory Director
KEITH D. SHEALY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mackey Family Practice, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MACKEY FAMILY PRACTICE, PA

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
8351 CHARLOTTE HWY STE 200
INDIAN LAND, SC 29707
Nurse Practitioner
8351 CHARLOTTE HWY STE 200
INDIAN LAND, SC 29707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497603252, enumerated as an "organization" on March 18, 2026.

The provider is located at 8351 CHARLOTTE HWY STE 200 INDIAN LAND, SC 29707 and the phone number is (803) 285-7414.

Family Medicine with taxonomy code 207Q00000X.