Active NPI
Keven Keller, CRNA
- Certified Registered Nurse Anesthetist
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN196868
- Practice address
- 1557 Janmar Rd
Snellville, GA 30078-5686 - Phone
- (678) 344-8900
- Fax
- (678) 666-5201
- NPI assigned
- Jan 23, 2014
- Last updated
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN196868 | GA | Primary |
Addresses
Primary practice location
1557 Janmar Rd
Snellville, GA 30078-5686
Mailing address
1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.85 of 100
- Quality
- 47.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 69.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN196868 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Gynecology PC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, LLC | Current | Accepting new patients | |
| Advanced Gynecology PC | Current | Accepting new patients | |
| Advanced Urology Anesthesia, LLC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia PC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, LLC | Current | Accepting new patients |
Locations
2711 Irvin Way
Ste 101
Decatur, GA 30030
10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097
501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101
1371 Church Street Ext NE
#100
Marietta, GA 30060
11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156
11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156
1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876
1357 Oconee Connector
Watkinsville, GA 30677
Phone (706) 549-8306
1357 Oconee Connector
Ste 102
Watkinsville, GA 30677
Phone 6783448900156
Organizations & group practices 6
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.
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Watkinsville, GA
- NPI 1093296824
-
- Specialist
- Snellville, GA
- NPI 1215365242
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Atlanta, GA
- NPI 1063095081
-
- Urology Physician
- Snellville, GA
- NPI 1770104473
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1194148494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 JANMAR RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785686",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 JANMAR RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785686",
"telephone_number": "678-344-8900",
"fax_number": "678-666-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "KEVEN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-23",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN196868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.