Individual provider Active NPI

Richard Steven Keene, NP-C

  • Family Nurse Practitioner
  • Sylvester, GA
National Provider Identifier
1487160362
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN191440 Issued in GA
Practice address
304 N Westberry St
Sylvester, GA 31791-2125
Phone
(229) 463-7071
NPI assigned
Dec 14, 2017
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN191440 GA Primary

Addresses

Primary practice location

304 N Westberry St
Sylvester, GA 31791-2125

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227002418 GA Practitioner - Nurse Practitioner 9537408026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Clinic of Coffee Co.Group PAC ID 4486698578, 11 clinicians

Practice addresses (Care Compare)

304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071

312 Westside Dr
Douglas, GA 31533-3530
Phone (912) 384-2200

37 Hwy 341 Bypass
Hawkinsville, GA 31036
Phone (870) 856-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN191440GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Clinic of Coffee Co. CurrentSince Mar 2, 2022 Accepting new patients
Westside Surgery Center, LLC Past Accepting new patients

Locations

312 Westside Dr
Douglas, GA 31533
Phone 9123842200222

2016 Pineview Ave
Tifton, GA 31794
Phone (229) 387-9205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1487160362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N WESTBERRY ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317912125",
            "telephone_number": "229-463-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "RICHARD",
        "middle_name": "STEVEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvester, GA

Sources for this page

Verify at the official NPI Registry.