KEOWEE PRIMARY CARE & INTERNAL MEDICINE PC
NPI 1548371222
Internal Medicine in Seneca, SC

Active since August 31, 2006CLIA Certified · 2 labs
109 CARTER PARK DR, SUITE 3A, SENECA, SC 29678(864) 885-0058 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Keowee Primary Care & Internal Medicine Pc NPPES

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

KEOWEE PRIMARY CARE & INTERNAL MEDICINE PC (NPI 1548371222) is a healthcare organization registered as an internal medicine in Seneca, South Carolina and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Tracy Keylon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548371222
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEOWEE PRIMARY CARE & INTERNAL MEDICINE PC
Location Address109 CARTER PARK DR, SUITE 3ASeneca, SC 29678-1152
Mailing AddressPo Box 8037Seneca, SC 29678-0001
Organization SubpartNo
Authorized OfficialTracy KeylonOffice Manager · (864) 885-0058
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 18, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1548371222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
109 CARTER PARK DR, Seneca, SC 29678

Accepted 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)

Keowee Primary Care & Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Keowee Primary Care & Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner15
Family Practice1
Internal Medicine1

Clinicians, nearest first (17)

Family Practice
NPI 1710933122
109 CARTER PARK DR SUITE 3A
Seneca, SC 29678
(864) 882-1420
✔ PECOSSame address
Nurse Practitioner
NPI 1366991671
109 CARTER PARK DR SUIT # 3A
Seneca, SC 29678
(864) 885-0058
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649612979
109 CARTER PARK DR STE 3A
Seneca, SC 29678
(864) 885-0058
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124502810
109 CARTER PARK DR STE 3A
Seneca, SC 29678
(864) 885-0058
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1043263494
109 CARTER PARK DR SUITE 3A
Seneca, SC 29678
(864) 885-0058
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740929850
111 CARTER PARK DR
Seneca, SC 29678
(864) 882-0848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770100463
111 CARTER PARK DR # A
Seneca, SC 29678
(864) 882-1420
✔ PECOSSame address
Nurse Practitioner
NPI 1881291722
390 KEOWEE SCHOOL RD
Seneca, SC 29672
(864) 885-7129
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1336107473
2126 N HIGHWAY 81
Anderson, SC 29621
(864) 226-2660
✔ PECOS22 mi
Nurse Practitioner
NPI 1316318454
2000 E GREENVILLE ST STE 2000
Anderson, SC 29621
(864) 512-5955
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1811409840
1501 E GREENVILLE ST
Anderson, SC 29621
(864) 226-8356
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1669804647
108 MONTGOMERY DR
Anderson, SC 29621
(864) 225-5597
✔ PECOS23 mi
Nurse Practitioner
NPI 1528343720
764 SACO LOWELL RD
Easley, SC 29640
(864) 855-5525
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1720636533
323 LEBBY ST
Pelzer, SC 29669
(864) 769-0210
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1528473824
2 HAMPSTEAD PL
Greer, SC 29650
(828) 351-6000
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1417501479
751 COOL SPRINGS BLVD STE 204
Franklin, TN 37067
(864) 885-8901
✔ PECOS232 mi
Nurse Practitioner
NPI 1356721179
1501 BISCAYNE BLVD
Miami, FL 33132
(877) 870-0323
✔ PECOS✔ Accepts Medicare635 mi

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 42D0939948

Keowee Primary Care · Seneca, SC
Active · expires Feb 2, 2028
CLIA Number42D0939948
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorMiranda Dean
Laboratory Phone(864) 885-0058
Laboratory LocationKeowee Primary Care109 Carter Park Drive Suite A, Seneca, SC 29678
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 42D1054341

Keowee Primary Care And Internal Medicine PC · Seneca, SC
Active · expires Sep 3, 2027
CLIA Number42D1054341
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorTauqueer Alam
Laboratory Phone(864) 885-0058
Laboratory LocationKeowee Primary Care And Internal Medicine PC109 Carter Park Dr, Seneca, SC 29678
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Keowee Primary Care & Internal Medicine PC's NPI number?

The NPI number for Keowee Primary Care & Internal Medicine PC is 1548371222. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Keowee Primary Care & Internal Medicine PC located?

Keowee Primary Care & Internal Medicine PC is located at 109 Carter Park Dr Suite 3A, Seneca, SC 29678. The listed phone number is (864) 885-0058.

What is Keowee Primary Care & Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Keowee Primary Care & Internal Medicine PC enrolled in Medicare?

Yes. Keowee Primary Care & Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keowee Primary Care & Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Keowee Primary Care & Internal Medicine PC. 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 (15), Family Practice (1) and Internal Medicine (1). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Keowee Primary Care & Internal Medicine PC 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.

What insurance does Keowee Primary Care & Internal Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Keowee Primary Care & Internal Medicine PC 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 Keowee Primary Care & Internal Medicine PC was last updated on November 18, 2022. 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.