| Keith Tisheem King, FNP-C | |
|
5070 International Blvd Ste 131, North Charleston, SC 29418-6007 | |
| (843) 402-5053 | |
| (843) 724-1325 |
| Full Name | Keith Tisheem King |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 5070 International Blvd Ste 131, North Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518533058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 25025 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 25025 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 767 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Tisheem King, FNP-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043 | Keith Tisheem King, FNP-C 5070 International Blvd Ste 131, North Charleston, SC 29418-6007 Ph: (843) 402-5053 |
Mr. Richard Dale Brinson, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-4595 | |
Kimberly Lynn Rhoton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 Bridge View Dr, Suite 500, Perimeter Center, North Charleston, SC 29405 Phone: 843-746-4030 | |
Whitney Naramore Huff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4975 Lacross Rd Ste 110, North Charleston, SC 29406 Phone: 843-797-1941 Fax: 843-574-1698 | |
Mrs. Dodi Lynn Baum, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9267 Medical Plaza Dr Ste G, North Charleston, SC 29406 Phone: 843-797-3636 | |
Tina Withrow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457 | |
Mrs. Ashley Dawson Richards, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2679 Lake Park Dr, North Charleston, SC 29406 Phone: 843-480-0855 | |
Hannah Dweikat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4920 Ohear Ave Ste 101, North Charleston, SC 29405 Phone: 843-856-3784 |