NPIMap

Individual provider Active NPI

Keisha Renee Callins, M.D., M.P.H.

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1164694089
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
065643 Issued in GA
Practice address
1550 College St
Macon, GA 31207-1500
Phone
(478) 301-2696
Fax
(478) 301-2116
NPI assigned
Mar 31, 2008
Last updated
Oct 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 879908 GA
Obstetrics & Gynecology Physician 207V00000X 065643 GA Primary

Addresses

Primary practice location

1550 College St
Macon, GA 31207-1500

Mailing address

4292 Gray Hwy
Gray, GA 31032-5900
Phone (478) 301-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000267 GA Practitioner - Obstetrics/Gynecology 6204005671 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4292 Gray Hwy
Gray, GA 31032-5900
Phone (478) 986-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
879908GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Liberty County CurrentSince Nov 12, 2023 Accepting new patients
Hospital Authority of Liberty County CurrentSince Nov 12, 2023 Accepting new patients
Community Health Care Systems, Inc CurrentSince Oct 11, 2017 Accepting new patients
Community Health Care Systems, Inc. CurrentSince Oct 11, 2017 Accepting new patients
Hospital Authority of Liberty County Current Accepting new patients
Albany OB-GYN LLC CurrentSince Nov 3, 2018 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Aug 6, 2018 Accepting new patients
Community Health Care Systems, Inc. Current Accepting new patients

Locations

1001 N Monroe St
Albany, GA 31701
Phone (229) 436-7248

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

4292 Gray Hwy
Gray, GA 31032
Phone (478) 986-2500

455 S Main St
Ste 203
Hinesville, GA 31313
Phone (912) 876-3552

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICJAA
  • Direct secure messaging: keisha.callins.1@14077.direct.athenahealth.com

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1164694089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4292 GRAY HWY",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325900",
            "telephone_number": "478-301-2362",
            "fax_number": "478-301-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071500",
            "telephone_number": "478-301-2696",
            "fax_number": "478-301-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLINS",
        "first_name": "KEISHA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "879908",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "065643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.