Individual provider Active NPI

Roy Robert Keys, MD

  • Emergency Medicine Physician
  • Eden, NC
National Provider Identifier
1275565681
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32921 Issued in KY
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

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010373077MedicaidVA
5906278MedicaidNC

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32921KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Emergency Physicians PA CurrentSince Dec 7, 2012 Accepting new patients
Morehead Memorial Hospital CurrentSince Aug 16, 2006 Accepting new patients
Unc Rockingham Health Care, Inc. CurrentSince Aug 16, 2006 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.

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

Verify at the official NPI Registry.