Keith Matthew Seibert, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

051733 Issued in GA

Practice address

60 Exchange St Ste B7
Richmond Hill, GA 31324-7646

Phone

(912) 756-2273

NPI assigned

Jul 14, 2005

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Pediatric Medicine

Education

Emory University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Primary Care Partners LLCGroup PAC ID 8022554526, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: keith.seibert.1@31652.direct.athenahealth.com
• Direct secure messaging: keithseibert@scmgllc.allscriptsdirect.net

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.

• Georgia Primary Care Partners, LLC

  • Primary Care Clinic/Center
  • Richmond Hill, GA
  • NPI 1144084856
  Medicare reassignment Care Compare group NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• The Urgent Care Center of Richmond Hill, LLC

  dba ExperCARE Health

  • Urgent Care Clinic/Center
  • Hinesville, GA
  • NPI 1760265151
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1467451211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 FORD AVE STE 2",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313246418",
            "telephone_number": "912-599-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EXCHANGE ST STE B7",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247646",
            "telephone_number": "912-756-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10055 Ford Ave",
            "address_2": "Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243972",
            "country_code": "US",
            "telephone_number": "912-756-3075",
            "fax_number": "912-756-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "KEITH",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010183",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G51733",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "370021486",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000966897A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000966897B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Sconyers
• Sea Steps Pediatric Therapy
• Liliana Genta Seabol, MD
• Kendra Seagraves, NP
• Jessica Christine Sehnert
• Rebecca Marshburn Sellers, M.D.
• Timothy Sellers
• Alexis V Shannon
• Roseline Shaw
• Lanier Shelton

• Pediatrics Physician in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.