Patricia P Keller, C.S.A.

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

92821 Issued in GA

Practice address

6144 Stella Light Dr
Flowery Branch, GA 30542-3451

Phone

(770) 940-0185

Fax

(949) 437-3333

NPI assigned

Jan 9, 2007

Last updated

Feb 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kellersurgical Assisting

  • Surgical Assistant
  • Flowery Branch, GA
  • NPI 1720796980
  NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1134278419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305420009",
            "telephone_number": "770-940-0185",
            "fax_number": "949-437-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 STELLA LIGHT DR",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423451",
            "telephone_number": "770-940-0185",
            "fax_number": "949-437-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "PATRICIA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "C.S.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "92821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA CERTIFICATION CST/CSFA",
            "identifier": "92821",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Wonderly Jones, D.M.D.
• JTL Counseling Services, LLC
• Pradnya Karmarkar
• Jason Y Kawamura, DPT
• Quentin Brandon Keasler, MS,ATC/L
• Kellersurgical Assisting
• Edward Kelly, D.D.S.
• David Glenn Kemp, D.D.S.
• Allie Lynn Kennedy, OTR/L
• John Kent, PHD

• Surgical Assistant in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.