Keith M Dockery, MD PC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003711 Issued in GA

Legal business name

KEITH M DOCKERY, MD PC

Practice address

1800 Peachtree St NW
Suite 700
Atlanta, GA 30309-2519

Phone

(404) 350-7966

Fax

(404) 350-7968

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Melissa Parks Dill

Title

Practice Manager

Phone

(404) 350-7966

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buckhead Ear, Nose and Throat Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Myron Dockery, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1659373611
  Medicare reassignment NPD
• Thomas N Guffin Jr., M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1174603112
  Medicare reassignment NPD
• Danielle M Nelson, PA-C

  • Physician Assistant
  • Stockbridge, GA
  • NPI 1437640174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1003000308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "404-350-7966",
            "fax_number": "404-350-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW",
            "address_2": "SUITE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092519",
            "telephone_number": "404-350-7966",
            "fax_number": "404-350-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M DOCKERY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "PARKS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-350-7966",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443781A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhead Ear, Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Mitchell Keim
• Victoria Pugh Keir, DDS, MD
• Katherine Keirsey, RD
• Tyler M Keisker, PT
• Lauren Keister, PAA
• Keith P. Thompson MD PC
• Audrey Keith
• Catherine Keith, NP
• Christopher Gatlin Keith, M.D.
• M Ouida Keith, LCSW

• Audiologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.