Individual provider Active NPI

Stephen Paul Keith, MD

  • Gastroenterology Physician
  • McComb, MS
National Provider Identifier
1457332066
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21847 Issued in MS
Practice address
300 Rawls Dr
Suite 1200
McComb, MS 39648-2877
Phone
(601) 249-4710
Fax
(601) 249-4716
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2023050205 MO
Gastroenterology Physician 207RG0100X DR.0045885 CO
Gastroenterology Physician 207RG0100X 21847 MS Primary
Gastroenterology Physician 207RG0100X MD2024-1017 NM

Addresses

Primary practice location

300 Rawls Dr
Suite 1200
McComb, MS 39648-2877

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 249-2701

Other practice location 1

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 629-3491

Other practice location 2

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800

Other practice location 3

2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 455-0681

Other practice location 4

630 W Maple St
Farmington, NM 87401-6113
Phone (505) 609-6349

Other identifiers 1

IdentifierTypeStateIssuer
04829713MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160303000569 GA Practitioner - Gastroenterology 5294786414 Reassigns benefits to 1 organization
I20240212001194 MO Practitioner - Gastroenterology 5294786414 Reassigns benefits to 3 organizations
I20250911000046 NM Practitioner - Gastroenterology 5294786414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

24 S Mount Auburn Rd
Cape Gastroenterology Specialist
Cape Girardeau, MO 63703-5049
Phone (573) 331-3350

801 W Maple St
San Juan Regional Hospitalist
Farmington, NM 87401-5630
Phone (505) 609-6463

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0045885COMDGastroenterology Physician
2023050205MOMDGastroenterology Physician
21847MSMDGastroenterology Physician
MD2024-1017NMMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc CurrentSince Aug 25, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Feb 4, 2016 Accepting new patients
Meritas Health Corporation Gastroenterology CurrentSince Mar 1, 2025 Accepting new patients
San Juan Regional Medical Center Inc Gastroenterology CurrentSince Aug 25, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 29, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 5, 2026 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Mar 1, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 29, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients
Colonnade Endoscopy Center LLC Past Accepting new patients

Locations

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

24 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 331-5544

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

630 W Maple St
Farmington, NM 87401
Phone (505) 325-1123

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: stephen.keith.1@8478.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1457332066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-249-2701",
            "fax_number": "601-249-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RAWLS DR",
            "address_2": "SUITE 1200",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482877",
            "telephone_number": "601-249-4710",
            "fax_number": "601-249-4716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-629-3491",
            "fax_number": "573-629-3429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "fax_number": "970-764-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Clay Edwards Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163254",
            "country_code": "US",
            "telephone_number": "816-455-0681",
            "fax_number": "816-455-5294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874016113",
            "country_code": "US",
            "telephone_number": "505-609-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2023050205",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0045885",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "21847",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2024-1017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04829713",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.