John G Keating, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3715 Northside Pkwy NW
Building 400 Suite 150
Atlanta, GA 30327-2806

Phone

(404) 233-5252

Fax

(404) 233-0490

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356545289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 WHITEWATER CREEK RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273946",
            "telephone_number": "404-262-9161",
            "fax_number": "404-233-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "address_2": "BUILDING 400 SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272806",
            "telephone_number": "404-233-5252",
            "fax_number": "404-233-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305907B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Kearney
• Janet Kim Kearns, D.D.S.
• Jasmine Kearse, M.D.
• Michael Kearse
• Tiffany Kearse, MD
• Nicole Keating, LCSW
• Virginia Souris Keating, NP-C
• Amelia Anne Keaton, M.D.
• Janaya Keaton
• Marshell Keaton

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.