Michael Graham Keene, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101457 Issued in NC

Practice address

800 Springfield Commons Dr
Suite 115
Raleigh, NC 27609-8533

Phone

(919) 876-3656

Fax

(919) 876-2351

NPI assigned

Feb 22, 2006

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Duke University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TLK Dermatology PLLCGroup PAC ID 6608313440, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: michaelkeene@rd.allscriptsdirect.net
• Direct secure messaging: mkeene@aadermaffiliates.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.

• TLK Dermatology PLLC

  • Dermatology Physician
  • Asheboro, NC
  • NPI 1780453464
  Medicare reassignment Care Compare group
• James Todd Williams MD

  dba Asheboro Dermatology and Skin Surgery Center

  • Dermatology Physician
  • Asheboro, NC
  • NPI 1700843323
  Medicare reassignment
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1376518134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRINGFIELD COMMONS DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098533",
            "telephone_number": "919-876-3656",
            "fax_number": "919-876-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRINGFIELD COMMONS DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098533",
            "telephone_number": "919-876-3656",
            "fax_number": "919-876-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "MICHAEL",
        "middle_name": "GRAHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Hinton Keel, PH.D.
• Keen Eye Chiropractic PLLC
• Crystal Renee Keen, ANP
• Christine Elizabeth Keenan, FNP-C
• Lucille Baker Keenan, PSY.D.
• Whitney Joyner Keene, OTR/L
• Joseph Keith Keener, M.D.
• Keep Counsel
• Keeping It Moving, LLC
• Gregory Keeton, CNIM, R.EEG, R.EP

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.