Taylor Nicole Keys, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3046 Issued in TN

Practice address

7900 Airways Blvd BLDG A1
Southaven, MS 38671-4116

Phone

(901) 228-0092

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Taylor Nicole Keys Former name

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deep Blue Retina, PLLCGroup PAC ID 0941533863, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkeys@deepblueretina.emadirect.md

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.

• Deep Blue Retina, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Southaven, MS
  • NPI 1427511880

  TN

  Medicare reassignment Care Compare group NPD
• Southern College of Optometry

  • Optometrist
  • Memphis, TN
  • NPI 1851384986
  Medicare reassignment NPD
• Delta Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1184173312
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1275896334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD BLDG A1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714116",
            "telephone_number": "901-228-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD BLDG A1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714116",
            "telephone_number": "901-228-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Madison Ave",
            "address_2": "Eye Clinic",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381042211",
            "country_code": "US",
            "telephone_number": "901-252-3694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYS",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "KEYS",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick John Kelly, DC
• Richard Allen Kelly, M.D.
• Teresa D Kendrick, NP
• Zachary Lee Kennedy, P.T.
• Key Therapy, PLLC
• Fazila Khaliq, MD
• Nabeel Hasan Khan, M.D.
• Shan Khan, D.O.
• Caroline Kidder
• Marcia W Kidder, P.T.

• Optometrist in Southaven, MS
• Providers in Southaven, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.
• 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.

Verify at the official NPI Registry.