Individual provider Active NPI

Kevin D Keith, D.O.

  • Orthopaedic Trauma Physician
  • Valdosta, GA
National Provider Identifier
1033378963
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
OS016409 Issued in PA
Practice address
2417 N Patterson St
Valdosta, GA 31602-2512
Phone
(229) 433-1861
NPI assigned
Jun 5, 2008
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 66959 GA
Orthopaedic Trauma Physician 207XX0801X OS016409 PA Primary

Addresses

Primary practice location

2417 N Patterson St
Valdosta, GA 31602-2512

Mailing address

2417 N Patterson St
Valdosta, GA 31602-2512
Phone (229) 433-1861

Other practice location 1

201 4th St Ste 1Ds
Alexandria, LA 71301-8421
Phone (318) 443-7622

Other practice location 2

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

Other practice location 3

USNH Okinawa
Fpo, AP 96362-9636
Phone (316) 646-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111123000693 GA Practitioner - Orthopedic SurgeryPractitioner - General Practice 5092989228 Reassigns benefits to 2 organizations
I20220712002860 PA Practitioner - Orthopedic Surgery 5092989228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

2417 N Patterson St
Suite A110
Valdosta, GA 31602-2512
Phone (229) 433-1711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
65.81
Promoting interoperability
99
Improvement activities
40
Cost
68.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
66959GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
South Georgia Medical Center Inc Student in an Organized Health Care Education/Training Program CurrentSince Jan 4, 2025 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jan 4, 2025 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2022 Accepting new patients
SGMC Physician Network Inc Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Allegheny Clinic Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Jenkins County Hospital LLC Past Accepting new patients
Screven County Family Health Center, LLC Past Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2580 Haymaker Rd
Ste 104
Monroeville, PA 15146
Phone (412) 373-1600

1307 Federal St
Ste 2
Pittsburgh, PA 15212
Phone (412) 330-4461

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1033378963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022512",
            "telephone_number": "229-433-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022512",
            "telephone_number": "229-433-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 4th St Ste 1Ds",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018421",
            "country_code": "US",
            "telephone_number": "318-443-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5515 Peach St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165092603",
            "country_code": "US",
            "telephone_number": "814-864-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "USNH Okinawa",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963629636",
            "country_code": "US",
            "telephone_number": "316-646-7128",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "66959",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "PA",
            "license": "OS016409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.