Elizabeth McKeon
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Clayton, GA
NPI 1205623170 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1205623170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN-NP273584 (GA)
- Practice address
- 633 Highway 441 S
Clayton, GA 30525-5425 - Phone
- (706) 212-0349
- Fax
- (706) 212-0349
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Privia Medical Group of Georgia LLC
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601003953 | GA | Practitioner - Nurse Practitioner | 4183194079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP273584 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthie Pathways | Current |
Accepting new patients |
Locations
633 Highway 441 S
Clayton, GA 30525
Phone (706) 212-0349
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-NP273584 | GA | Yes |
Addresses
Primary practice location
633 Highway 441 S
Clayton, GA 30525-5425
Mailing address
168 Rogers St Ste F
Blairsville, GA 30512-3621
Phone (678) 349-4911
Other providers in Clayton, GA
- Kimberly J Martin
- Shannon Michelle Mattingly
- William Franklin McDaniel
- Bryan Kelly McDonald
- Pamila Shelton McIntyre
- Carrie McLamar
- Erica McVey
- Medical Management Concepts LLC
- Medlink Georgia Inc
- Medlink Georgia Inc
All providers in Clayton, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.