NPIMap

Individual provider Active NPI

Nabil Keith, MD

  • Family Medicine Physician
  • Dawsonville, GA
National Provider Identifier
1306032198
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
068226 Issued in GA
Practice address
150 Northside Dawson Dr
Dawsonville, GA 30534-6227
Phone
(706) 216-4444
Fax
(706) 429-1140
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 068226 GA Primary

Addresses

Primary practice location

150 Northside Dawson Dr
Dawsonville, GA 30534-6227

Mailing address

150 Northside Dawson Dr
Dawsonville, GA 30534-7696
Phone (706) 216-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914000989 GA Practitioner - Family Practice 6709920952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 Northside Dawson Dr
Dawsonville, GA 30534-7164
Phone (706) 216-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068226GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nabil Keith MD LLC Family Medicine CurrentSince Mar 12, 2020 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients
Gold City Health & Rehab LLC Past Accepting new patients
Uhs Ventures PastSince Jul 24, 2022 Accepting new patients
Urgent Care Across America Family Medicine Past Accepting new patients

Locations

150 Northside Dawson Dr
Dawsonville, GA 30534
Phone (706) 216-4444

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gold City Health and RehabDahlonega, GA, CCN 115689 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 29, 2025
Jan 29, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1306032198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NORTHSIDE DAWSON DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347696",
            "telephone_number": "706-216-4444",
            "fax_number": "706-429-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NORTHSIDE DAWSON DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346227",
            "telephone_number": "706-216-4444",
            "fax_number": "706-429-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "NABIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "068226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.