Active NPIIndividual provider

John S Keeley Jr., MD

Surgery in Augusta, Georgia

NPI Number1316164288
Practice location
3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205
Fax
706-504-9703
Last updated
May 13, 2024

John Stewart Keeley is a Surgery based in Augusta, GA. John Stewart Keeley practices in Augusta, GA and has the professional credentials of MD. The NPI Number for John Stewart Keeley is 1316164288 and holds a License No. 49812 (TN). The current practice location address for John Stewart Keeley is 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 and can be reached out via phone at 706-504-9712 and via fax at 706-504-9703.

Provider Profile Details

NPI Number
1316164288
Provider Name
John Stewart Keeley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205
Phone Number
706-504-9712
Fax Number
706-504-9703
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Other Names
John Stewart Beatty (Former Name)
Provider Enumeration Date
April 20, 2007
Last Update Date
May 13, 2024
Certification Date
May 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
State
Georgia
Zip
30909-2205
Phone Number
706-504-9712
Fax Number
706-504-9703
Augusta, GA 30909Get directions →

Provider Business Mailing Address Details

Address
105 W Stone Dr Ste 6A
Kingsport, TN 37660-3256
City
Kingsport
State
TN
Zip
37660-3256
Phone Number
423-408-7220
Fax Number
423-408-7405

License Information

License Number (1)
49812
License State (1)
TN
Taxonomy (1)
Surgery · 208600000X
License Number (2)
68360
License State (2)
GA
Taxonomy (2)
Surgery · 208600000X
License Number (3)
MD27894
License State (3)
ME
Taxonomy (3)
Surgery, Surgical Critical Care · 2086S0102X
License Number (4)
MD27894
License State (4)
ME
Taxonomy (4)
Surgery · 208600000X · Primary
License Number (5)
68360
License State (5)
GA
Taxonomy (5)
Surgery, Surgical Critical Care · 2086S0102X
License Number (6)
49812
License State (6)
TN
Taxonomy (6)
Surgery, Surgical Critical Care · 2086S0102X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John S Keeley Jr., MD?

The NPI number of John S Keeley Jr., MD is 1316164288. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of John S Keeley Jr., MD?

John S Keeley Jr., MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in TN under license number 49812.

Where does John S Keeley Jr., MD practice?

The practice location is 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205. The office can be reached at 706-504-9712 (phone) or 706-504-9703 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316164288 directly on the NPPES registry website.

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