Individual provider Active NPI

William Joseph Keating, M.D.

  • Family Medicine Physician
  • Dawsonville, GA
National Provider Identifier
1104975002
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052971 Issued in GA
Practice address
1080 Lumpkin Campground Rd S
Suite 300
Dawsonville, GA 30534-0989
Phone
(706) 265-4100
Fax
(706) 265-4132
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 052971 GA
Family Medicine Physician 207Q00000X 052971 GA Primary

Addresses

Primary practice location

1080 Lumpkin Campground Rd S
Suite 300
Dawsonville, GA 30534-0989

Mailing address

1080 Lumpkin Campground Rd S Ste 300
Dawsonville, GA 30534-0989
Phone (706) 203-1217

Other identifiers 3

IdentifierTypeStateIssuer
10050796OtherGAAMERIGROUP
325908OtherGAWELLCARE
000385310AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100511000383 GA Practitioner - Family PracticePractitioner - Addiction MedicinePractitioner - Preventive Medicine 4385683705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Preventive Medicine
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1080 Lumpkin Campground Rd S
Suite 300
Dawsonville, GA 30534-0989
Phone (706) 265-4100

Hospital & facility affiliations

  • Tugaloo Home Health Agency, an Amedisy Company Home health agency, Gainesville, GA, CCN 117305
  • Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dawsonville Family Medicine Family Medicine CurrentSince Jul 23, 2003 Accepting new patients

Locations

1080 Lumpkin Campground Rd S
Ste 300
Dawsonville, GA 30534
Phone (706) 203-1217

1080 Lumpkin Campground Rd S
Dawsonville, GA 30534
Phone (706) 265-4100

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1104975002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 LUMPKIN CAMPGROUND RD S STE 300",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340989",
            "telephone_number": "706-203-1217",
            "fax_number": "706-265-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 LUMPKIN CAMPGROUND RD S",
            "address_2": "SUITE 300",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340989",
            "telephone_number": "706-265-4100",
            "fax_number": "706-265-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "GA",
            "license": "052971",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10050796",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "325908",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000385310A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.