Individual provider Active NPI

Stephen Robert Keener, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1083757884
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28053 Issued in NC
Practice address
249 Billingsley Rd
Charlotte, NC 28211-1003
Phone
(704) 336-4705
Fax
(704) 336-4709
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28053 NC Primary
Public Health & General Preventive Medicine Physician 2083P0901X 28053 NC

Addresses

Primary practice location

249 Billingsley Rd
Charlotte, NC 28211-1003

Mailing address

4617 Colony Rd Apt I
Charlotte, NC 28226-4984
Phone (704) 551-0715

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000599 NC Practitioner - Family PracticePractitioner - Preventive Medicine 2860547213 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28053NCMDAddiction (Substance Use Disorder) Counselor
28035NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mecklenburg County CurrentSince Jun 25, 2009 Accepting new patients
Mecklenburg County CurrentSince Jun 25, 2009 Accepting new patients
County of Union CurrentSince Jan 1, 2019 Accepting new patients
Union County Public Schools Past Accepting new patients

Locations

2845 Beatties Ford Rd
Charlotte, NC 28216
Phone (704) 336-6161

249 Billingsley Rd
Charlotte, NC 28211
Phone (704) 336-4700

2330 Concord Ave
Monroe, NC 28110
Phone (704) 296-4800

Organizations & group practices 4

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083757884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 COLONY RD APT I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264984",
            "telephone_number": "704-551-0715",
            "fax_number": "704-336-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "704-336-4705",
            "fax_number": "704-336-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "28053",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "28053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.