Individual provider Active NPI

Courtney Still Keatts, AGNP

  • Nurse Practitioner
  • Oak Ridge, NC
National Provider Identifier
1073970539
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008319 Issued in NC
Practice address
7607 NC Highway 68 N Ste B
Oak Ridge, NC 27310-8803
Phone
(336) 643-5800
Fax
(336) 643-7474
NPI assigned
Jan 28, 2016
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008319 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5008319 NC

Addresses

Primary practice location

7607 NC Highway 68 N Ste B
Oak Ridge, NC 27310-8803

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

217 Turner Dr Ste F
Reidsville, NC 27320-5754
Phone (336) 342-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002837 NC Practitioner - Nurse Practitioner 5395040364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

7607 NC Hwy 68 N
Suite B
Oak Ridge, NC 27310-8803
Phone (336) 643-3378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008319NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zack Hall, MD PLLC CurrentSince Feb 11, 2016 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 10, 2021 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 10, 2021 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 25, 2019 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 25, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

3800 Robert Porcher Way
Ste 200
Greensboro, NC 27410
Phone (336) 282-0376

7607 NC Highway 68 N
Ste B
Oak Ridge, NC 27310
Phone (336) 643-3378

217 Turner Dr
Ste F
Reidsville, NC 27320
Phone (336) 342-6060

502 S Scales St
Reidsville, NC 27320
Phone (336) 342-6060

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: ckeatts1018757@direct.novanthealth.org
  • FHIR API: https://api.platform.athenahealth.com/25214/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1073970539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 NC HIGHWAY 68 N STE B",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273108803",
            "telephone_number": "336-643-5800",
            "fax_number": "336-643-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Turner Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273205754",
            "country_code": "US",
            "telephone_number": "336-342-6060",
            "fax_number": "336-342-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATTS",
        "first_name": "COURTNEY",
        "middle_name": "STILL",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008319",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NC

Sources for this page

Verify at the official NPI Registry.