Keith Woodward Lackey is a Internal Medicine Physician practicing in Charleston, South Carolina. The National Provider Identifier (NPI) is #1154389815, which was assigned on May 3, 2006, and the registration record was last updated on April 23, 2025. The practitioner's main practice location is at 615 Wesley Drive, Suite 300, Charleston, SC 29407; the contact telephone number is 8432664400, and the fax number is 8435770455. The primary taxonomy of Keith Woodward Lackey is Internal Medicine Physician (207R00000X). Keith Woodward Lackey is licensed to practice in the state of South Carolina (#15543).
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.
| NPI | 1154389815 |
| Entity Type | Individual |
| Provider Name | DR. KEITH WOODWARD LACKEY |
| Gender | Male |
| Credential | MD |
| Practice Address |
615 Wesley Drive Suite 300 Charleston SC 29407 |
| Practice Telephone | 8432664400 |
| Practice Fax Number | 8435770455 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Mailing Telephone | 8884720043 |
| Mailing Fax Number | 8437242440 |
| Certification Date | 2025-04-23 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-04-23 |
| Is Sole Proprietor | N |
| PAC ID |
7911057401 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | KEITH W LACKEY |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Primary Specialty | INTERNAL MEDICINE |
| Organization Legal Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Address |
2075 Eagle Landing Blvd N Charleston SC 29406-4074 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 15543 | SC |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 110232037 | SC | RR MEDICARE | Other |
| 110105130 | SC | RR MEDICARE | Other |
| P00754364 | SC | RAILROAD MC ID-RSFPN | Other |
| 155432 | SC | MEDICAID |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dumenigo Medical Centers LLC | 7500 Sw 8th St Ste 302, Miami, FL 33144-4400 | Internal Medicine Physician | 2025-10-09 |
| Nacmed LLC | R006 Calle Domingo Fidalgo, Juncos, PR 00777 | Internal Medicine Physician | 2025-10-08 |
| Spectrum Health United | 2776 S State Rd, Ionia, MI 48846-8472 | Internal Medicine Physician | 2025-10-10 |
| Lindsey Flannigan | 14 Office Park Dr, Palm Coast, FL 32137-3864 | Internal Medicine Physician | 2025-10-09 |
| Evolutionary Healthcare West Virginia PLLC | 3006 Mount Vernon Rd Ste 1075, Hurricane, WV 25526-0318 | Internal Medicine Physician | 2025-10-09 |
| Spectrum Health Hospital | 1 Atkinson Dr, Ludington, MI 49431-1906 | Internal Medicine Physician | 2025-10-10 |
| Ricardo Vega Murillo Sr. | 3650 Nw 82nd Ave Ste 208, Doral, FL 33166-6682 | Internal Medicine Physician | 2025-10-10 |
| Gsareen, LLC. | 3472 Forest Hill Blvd Ste 3b, West Palm Beach, FL 33406-5684 | Internal Medicine Physician | 2025-10-08 |
| Evolutionary Healthcare Texas PC | 3400 E Walnut St, Pearland, TX 77581-4716 | Internal Medicine Physician | 2025-10-10 |
| Citrushealthcare | 718 Lincoln Blvd Unit 1, Unit 1, Santa Monica, CA 90402-2856 | Internal Medicine Physician | 2025-10-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
615 WESLEY DRIVE SUITE 300 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cary Stanley Hickman | 615 Wesley Drive, Suite 200, Charleston, SC 29407 | Internal Medicine Physician | 2006-05-16 |
| Robert William Cain | 615 Wesley Drive, Suite 300, Charleston, SC 29407 | Internal Medicine Physician | 2006-05-03 |
| Charles Leon Smith Jr. | 615 Wesley Drive, Suite 200, Charleston, SC 29407 | Internal Medicine Physician | 2006-05-16 |
| William Huston Snyder III | 615 Wesley Drive, Suite 200, Charleston, SC 29407 | Internal Medicine Physician | 2006-05-16 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kassi Lynn Goodman | 1064 Gardner Rd Ste 215, Charleston, SC 29407-1712 | Addiction (Substance Use Disorder) Counselor | 2007-05-16 |
| Brian Sherman | 1 Carriage Lane, Building B, Suite 102, Charleston, SC 29407 | Clinical Psychologist | 2012-12-06 |
| Kate Thompson | 1554 Downing St, Charleston, SC 29407-3917 | Pediatric Adolescent Medicine Physician | 2025-09-13 |
| Tiffani Holdgate | 21 Gamecock Ave Ste E, Charleston, SC 29407-3368 | Mental Health Counselor | 2023-10-09 |
| Jonathan Michael Snipes | Snipes Medical Services, #1053 78 Folly Road Ste B9, Charleston, SC 29407-2940 | Psychiatry Physician | 2008-06-30 |
| Two Caring Hearts Home Health | 78 Folly Rd Blvd, Suite B9 #1331, Charleston, SC 29407 | Home Health Agency | 2025-03-25 |
| Kate Lynn Van Vliet | 1838 Debbenshire Dr, Charleston, SC 29407-3010 | Physician Assistant | 2025-08-05 |
| Michael Anthony Kollar | 1173 Southgate Drive, Suite B, Charleston, SC 29407 | Psychologist | 2006-09-01 |
| Adalai Angel | 706 Locust Street, Charleston, SC 29407 | Student in an Organized Health Care Education/Training Program | 2025-08-08 |
| Bridget E Kelly | 1639 Sheffield Street, Charleston, SC 29407-2940 | Speech-Language Pathologist | 2018-11-06 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Juanita Lackey | 2651 Burnet Ave, Cincinnati, OH 45219-2551 | Speech-Language Pathologist | 2025-08-14 |
| Brandon D Lackey | 1804 6th Ave N, Bessemer, AL 35020-4851 | Mental Health Counselor | 2025-09-06 |
| Amanda Lackey | 203 Pharmacy Bldg, Corvallis, OR 97331-8537 | Student in an Organized Health Care Education/Training Program | 2025-05-08 |
| Melissa M Lackey | 810 Main St, Melrose, MA 02176-2711 | Oral and Maxillofacial Surgery (Dentist) | 2005-11-05 |
| Melodie Lackey · Alex Lackey | 18 N Forge St, Akron, OH 44304-1317 | Mental Health Counselor | 2022-07-06 |
| Herbert Lackey III | 54 Battlefield Canopy Cir, Ringgold, GA 30736-5052 | Speech-Language Pathologist | 2025-06-18 |
| Jennifer Lackey | 2575 Montessouri St Ste 201, Las Vegas, NV 89117-3060 | Personal Care Attendant | 2025-06-16 |
| Sarah Lackey | 2851 Joe Dimaggio Blvd Ste 7, Round Rock, TX 78665-3928 | Clinical Social Worker | 2025-04-28 |
| Courtney Lackey | 3869 Sw Hall Blvd, Beaverton, OR 97005-2049 | Speech-Language Pathologist | 2014-08-14 |
| Devin Lackey | 1441 E Broad St # 90, Fuquay Varina, NC 27526-1968 | Behavior Technician | 2025-08-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |