Individual provider Active NPI

Robert Wayne Keeton Jr., MD

  • Allergy & Immunology Physician
  • Sevierville, TN
National Provider Identifier
1063530541
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD0000043378 Issued in TN
Practice address
1024 Middle Creek Rd
Suite 2 & 3
Sevierville, TN 37862-6921
Phone
(865) 286-9977
Fax
(865) 286-9967
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD0000043378 TN Primary

Addresses

Primary practice location

1024 Middle Creek Rd
Suite 2 & 3
Sevierville, TN 37862-6921

Mailing address

1024 Middle Creek Rd
Suite 2 & 3
Sevierville, TN 37862-6921
Phone (865) 286-9977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000459 TN Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Sleep Medicine 7618047135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Sleep Medicine
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keeton Clinic PLLCGroup PAC ID 8729274980, 2 clinicians

Practice addresses (Care Compare)

1024 Middle Creek Rd
Suite 2And3
Sevierville, TN 37862-6921
Phone (865) 286-9977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43378TNMDPharmacist
MD0000043378TNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keeton Sleep Diagnostics LLC Current Accepting new patients
Allergy Associates, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: keetonclinic.robertkeeton@119483.advancedmd-direct.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1063530541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MIDDLE CREEK RD",
            "address_2": "SUITE 2 & 3",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626921",
            "telephone_number": "865-286-9977",
            "fax_number": "865-286-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MIDDLE CREEK RD",
            "address_2": "SUITE 2 & 3",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626921",
            "telephone_number": "865-286-9977",
            "fax_number": "865-286-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD0000043378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.