Virginia Souris Keating, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN181526 Issued in GA

Practice address

3715 Northside Pkwy NW
400 Northcreek, Ste. 150
Atlanta, GA 30327-2882

Phone

(404) 233-5252

Fax

(404) 233-0490

NPI assigned

Jan 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1023474582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 WHITEWATER CREEK RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273946",
            "telephone_number": "404-233-5252",
            "fax_number": "404-233-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "address_2": "400 NORTHCREEK, STE. 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272882",
            "telephone_number": "404-233-5252",
            "fax_number": "404-233-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "VIRGINIA",
        "middle_name": "SOURIS",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN181526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NP-C",
            "identifier": "RN181526",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Kearse, M.D.
• Michael Kearse
• Tiffany Kearse, MD
• John G Keating, M.D.
• Nicole Keating, LCSW
• Amelia Anne Keaton, M.D.
• Janaya Keaton
• Marshell Keaton
• Alisa A. Keats, PAAA
• Michael D Keats, PA-AA

• Gerontology Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.