Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keegan Fernandes

Individual provider Family Medicine Physician · NPI 1912692013

Keegan Fernandes is a Family Practice in Sumter, South Carolina. Graduated from Campbell Univ School of Osteopathic Medicine in 2023, 3 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
3
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
SC
In the registry since
2023
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Practice location Address checks out

129 N Washington St
Sumter, SC 29150-4949
Phone: (803) 774-9755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LL89933 (SC)

Record details

NPI number1912692013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address129 N Washington St, Sumter, SC 29150-4949

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Sumter