Keeton Clinic PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

KEETON CLINIC PLLC

Practice address

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

Phone

(865) 670-6750

Fax

(865) 286-9967

NPI assigned

Sep 24, 2010

Organization subpart

No

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

Authorized official

Name

Robert W. Keeton, MDNPI 1063530541

Title

Owner

Phone

(865) 286-9977

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Wayne Keeton Jr., MD

  • Allergy & Immunology Physician
  • Sevierville, TN
  • NPI 1063530541
  Medicare reassignment Care Compare group Authorized official
• Heather E Cummins, APN

  • Family Nurse Practitioner
  • Lenoir City, TN
  • NPI 1164808713
  Medicare reassignment Care Compare group NPD
• Robert Walter Magee, MD

  • Family Medicine Physician
  • Dyersburg, TN
  • NPI 1376537977
  NPD (past)

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1144539180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24313",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379332313",
            "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": "STE 2 & 3",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626921",
            "telephone_number": "865-670-6750",
            "fax_number": "865-286-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEETON CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-286-9977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520032",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K VA T Food Stores Inc (Food City Pharmacy)
• K VA T Food Stores Inc (Food City Pharmacy #668)
• Sarah Kamp, NP
• Shannon Nicole Keathley, PT
• Maggie Elline Keck, FNP
• Robert Wayne Keeton Jr., MD
• Kimberly D Kelly, RN
• Dana Nadine Partington Kembel, FNP-BC
• Emilee Kerr
• Emily Alexandra Kidwell, MSW

• Allergy & Immunology Physician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.