NPIMap

Individual provider Active NPI

Jared N Keith, MD

  • Nephrology Physician
  • Boone, NC
National Provider Identifier
1386962918
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2018-02062 Issued in NC
Practice address
400 Shadowline Dr Ste 203
Boone, NC 28607-5022
Phone
(828) 263-8707
Fax
(828) 263-8710
NPI assigned
May 6, 2010
Last updated
May 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.34085 AL
Nephrology Physician 207RN0300X 2018-02062 NC Primary

Addresses

Primary practice location

400 Shadowline Dr Ste 203
Boone, NC 28607-5022

Mailing address

400 Shadowline Dr Ste 203
Boone, NC 28607-5022
Phone (828) 263-8707

Other practice location 1

504 Mulberry St SW Ste D
Lenoir, NC 28645-5762
Phone (828) 263-8707

Other identifiers 1

IdentifierTypeStateIssuer
Q073893MedicaidTN

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
I20190201001124 NC Practitioner - NephrologyPractitioner - Internal Medicine 7416189303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Nephrology and Hypertension Associates PAGroup PAC ID 0244319986, 8 clinicians

Practice addresses (Care Compare)

2810 16TH St NE
Suite 200
Hickory, NC 28601-9600
Phone (828) 327-7700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.34085ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Jan 1, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Caldwell Memorial Hospital Inc Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Piedmont Nephrology & Hypertension Associates, PA CurrentSince Sep 1, 2025 Accepting new patients

Locations

2810 16th St NE
#200
Hickory, NC 28601
Phone (828) 327-7700

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

321 Mulberry St SW
Ste 15
Lenoir, NC 28645

Interoperability endpoints

  • Direct secure messaging: jared.keith.1@22036.direct.athenahealth.com
  • Direct secure messaging: jkeith449966@direct.unc.nchie.net
  • Direct secure messaging: jkeith81268@direct.acumenmd.com

Organizations & group practices 4

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 10

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1386962918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR STE 203",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075022",
            "telephone_number": "828-263-8707",
            "fax_number": "828-263-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR STE 203",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075022",
            "telephone_number": "828-263-8707",
            "fax_number": "828-263-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Mulberry St SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455762",
            "country_code": "US",
            "telephone_number": "828-263-8707",
            "fax_number": "828-263-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "JARED",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD.34085",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2018-02062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073893",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.