JOHN A KELLER, MD, PC


Address: 108 N Park Dr, Fayetteville, GA 30214-1645
Phone: 7704613466

JOHN A KELLER, MD, PC (NPI# 1407989155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407989155
Entity Type Organization
Organization Name JOHN A KELLER, MD, PC
Other Organization Name FAYETTEVILLE FAMILY PRACTICE
Practice Address 108 N Park Dr
Fayetteville
GA 30214-1645
Practice Telephone 7704613466
Mailing Telephone 7704613466
Enumeration Date 2007-03-13
Last Update Date 2016-04-20
Authorized Official Name DR. JOHN KELLER (PRESIDENT)
Authorized Official Telephone 7704613466
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
020555 GA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
FAYETTEVILLE FAMILY PRACTICE Doing Business As Name - Organization

Office Location

Street Address 108 N PARK DR
City FAYETTEVILLE
State GA
Zip Code 30214-1645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427593045 Karen Whatley Mcdonald Nurse Practitioner 108 N Park Dr, Fayetteville, GA 30214-1645 2017-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275590747 Kanan Chatterjee Family Medicine 469 Shawcroft Rd, Fayetteville, NC 28311-2946 2006-04-28
1568626133 Pamela Lin Harris Family Medicine 2000 Fort Bragg Rd, St 3, Fayetteville, NC 28303-7041 2008-07-14
1427236926 Dickson Street Clinic Family Medicine 102 W Dickson St, Fayetteville, AR 72701-5219 2008-02-06
1548345606 Carl Robert Magness Family Medicine 102 W Dickson St, Fayetteville, AR 72701-5219 2006-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306464250 Leah Reed Family Medicine 2082 Cherokee Farms Cv, Buford, GA 30519-7004 2020-07-08
1083240766 Carehere LLC Family Medicine 114 N Jackson St, Albany, GA 31701-2583 2020-03-13
1518590744 Octavia Raquel Holloway-freeman Family Medicine 301 Denmark St, Statesboro, GA 30458-5208 2020-02-17
1891331575 Jenna Barnes Family Medicine 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 2019-11-18
1023651205 Carehere LLC Family Medicine 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 2019-10-21
1003385733 James G Hamilton Jr Md LLC Family Medicine 4898 Highway 197, Mount Airy, GA 30563-2442 2018-11-26
1780161323 Personal Wellness Inc. Family Medicine 625 Boxwood Ter, Johns Creek, GA 30005-7217 2018-07-26
1073005138 Lake Oconee Wellness Associates LLC Family Medicine 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 2018-06-05
1376034983 Lee Pennington Mcnichols Family Medicine 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 2018-05-21
1972021301 Docpecox, LLC Family Medicine 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 2017-09-06
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Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30214

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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