Individual provider Active NPI

William G. Keyes, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1285632455
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
030634 Issued in GA
Practice address
5901B Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382
Phone
(404) 252-9751
Fax
(678) 990-5763
NPI assigned
Jul 12, 2005
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 030634 GA Primary

Addresses

Primary practice location

5901B Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382

Mailing address

5901B Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382
Phone (404) 252-9751

Other identifiers 3

IdentifierTypeStateIssuer
00377946DMedicaidGA
00377946BMedicaidGA
00377946AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511000699 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9537177092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neonatology Associates of Atlanta, P.C. Neonatal-Perinatal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1285632455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901B PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-252-9751",
            "fax_number": "678-990-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901B PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-252-9751",
            "fax_number": "678-990-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "WILLIAM",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GA",
            "license": "030634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00377946D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00377946B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00377946A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.