John a Keller, MD, PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

020555 Issued in GA

Legal business name

JOHN A KELLER, MD, PC

Practice address

108 N Park Dr
Fayetteville, GA 30214-1645

Phone

(770) 461-3466

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Keller, M.D.

Title

President

Phone

(770) 461-3466

Specialties & licenses 1

Addresses

Other names 1

• FAYETTEVILLE FAMILY PRACTICE Doing business as

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1407989155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-461-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-461-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A KELLER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-461-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "020555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAYETTEVILLE FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeff Davis Dental, LLC
• Kelly Jefferson
• Monica Jenkins, PT
• Stephanie Nicole Jenkins, MA CCC-SLP
• Jennifer Corbitt Freeman, M.D., P.C.
• John K Kendrick DMD PC
• Edsworth S John, MD
• Diahann Johnbaptiste, MPA, MS, LPC
• Alexis K Johnson-Nelson, IMFT
• Altee S Johnson, M.D.

• Adult Medicine Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.