NPIMap

Individual provider Active NPI

Keith Mitchell Golden, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Wilmington, NC
National Provider Identifier
1316162902
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2008-01218 Issued in NC
Practice address
1500 Physicians Dr
Wilmington, NC 28401-7356
Phone
(910) 662-9500
Fax
(910) 662-9501
NPI assigned
Apr 17, 2007
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME113563 FL
Cardiovascular Disease Physician 207RC0000X 2008-01218 NC
Clinical Cardiac Electrophysiology Physician 207RC0001X ME113563 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X 2008-01218 NC Primary
Hospitalist Physician 208M00000X 01070119A IN

Addresses

Primary practice location

1500 Physicians Dr
Wilmington, NC 28401-7356

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9500

Other practice location 1

5151 N 9th Ave Ste 200
Pensacola, FL 32504-8721
Phone (850) 416-4970

Other practice location 2

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Other identifiers 1

IdentifierTypeStateIssuer
201032390MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110408000051 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 0143404590 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-9073

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01218NCMDClinical Cardiac Electrophysiology Physician
01070119AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Nov 12, 2021 Accepting new patients
NMG Health Services LLC CurrentSince Jun 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Cardiovascular Disease Current Accepting new patients
Brunswick Community Hospital, LLC CurrentSince Nov 12, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jan 21, 2024 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 6, 2023 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jan 21, 2024 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC Cardiovascular Disease CurrentSince Jun 1, 2021 Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

1500 Physicians Dr
Wilmington, NC 28401
Phone (910) 736-6332

Interoperability endpoints

  • Direct secure messaging: kgolden@crhn.cernerdirect.com
  • Direct secure messaging: kgolden1004285@direct.novanthealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1316162902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017356",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 N 9th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048721",
            "country_code": "US",
            "telephone_number": "850-416-4970",
            "fax_number": "850-416-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KEITH",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME113563",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2008-01218",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME113563",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "2008-01218",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01070119A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201032390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.