Active NPI
Roy Robert Keys, MD
- Emergency Medicine Physician
- Eden, NC
National Provider Identifier
1275565681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 32921
- Practice address
- 117 E Kings Hwy
Eden, NC 27288-5201 - Phone
- (663) 623-9711
- Fax
- (336) 623-7660
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 32921 | KY | Primary |
Addresses
Primary practice location
117 E Kings Hwy
Eden, NC 27288-5201
Mailing address
117 E Kings Hwy
Eden, NC 27288-5201
Phone (663) 623-9711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010373077 | Medicaid | VA | |
| 5906278 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32921 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Emergency Physicians PA | Current | Accepting new patients | |
| Morehead Memorial Hospital | Current | Accepting new patients | |
| Unc Rockingham Health Care, Inc. | Current | Accepting new patients | |
| Our Lady of Bellefonte Hospital, Inc. | Past | Accepting new patients | |
| Morehead Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
Locations
117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181
618 S Pierce St
Eden, NC 27288
Phone (336) 394-3625
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Mayodan, NC
- NPI 1194153569
-
- Emergency Medical Services (Emergency Medicine) Physician
- Pinehurst, NC
- NPI 1003853409
-
- General Acute Care Hospital
- Eden, NC
- NPI 1326048810
-
- Nurse Practitioner
- Ashland, KY
- NPI 1457545543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1275565681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "663-623-9711",
"fax_number": "336-623-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "663-623-9711",
"fax_number": "336-623-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "ROY",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "32921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010373077",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906278",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.