Active NPI
Stephen Paul Keith, MD
- Gastroenterology Physician
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 21847
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04829713 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 73 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0045885 | CO | MD | Gastroenterology Physician |
| 2023050205 | MO | MD | Gastroenterology Physician |
| 21847 | MS | MD | Gastroenterology Physician |
| MD2024-1017 | NM | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Meritas Health Corporation | Gastroenterology | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Gastroenterology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- 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.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Hospitalist Physician
- North Kansas City, MO
- NPI 1497206536
Gastroenterology
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
- Endoscopy Clinic/Center
- Lake Charles, LA
- NPI 1184605792
-
- Multi-Specialty Clinic/Center
- Kirksville, MO
- NPI 1447789300
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- Rehabilitation Hospital Unit
- Farmington, NM
- NPI 1326663592
-
- General Acute Care Hospital
- Farmington, NM
- NPI 1427058510
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.