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: August 23, 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

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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
109 CARTER PARK DR, SUITE 3A
SENECA, SC 29678
Clinic/Center (Urgent Care)
109 CARTER PARK DR, SUITE 3A
SENECA, SC 29678
Nurse Practitioner (Family)
109 CARTER PARK DR
SENECA, SC 29678
Physician Assistant (Medical)
109 CARTER PARK DR, SUITE 3A
SENECA, SC 29678
Nurse Practitioner (Family)
109 CARTER PARK DR, SUIT # 3A
SENECA, SC 29678
Family Medicine
109 CARTER PARK DR, SUITE 3A
SENECA, SC 29678

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.

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 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.