Active NPI
Tina S Keaton, NP-C
- Nurse Practitioner
- Blairsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN107500
- Practice address
- 308 Deep South Farm Rd
Suite 200
Blairsville, GA 30512-2218 - Phone
- (706) 835-2235
- Fax
- (706) 835-1706
- NPI assigned
- Mar 5, 2014
- Last updated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN107500 | GA | Primary |
Addresses
Primary practice location
308 Deep South Farm Rd
Suite 200
Blairsville, GA 30512-2218
Mailing address
1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (706) 835-2235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003144263A,B,D | Medicaid | GA |
Other names 1
- Miss Shelley Keaton
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tina.keatonnp.p1@direct.gacancer.nextgenshare.com | Direct | |
| Direct Messaging Address | tina.keatonnp.p1@direct.gacancer.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
308 Deep S Farm Rd
Suite 200
Blairsville, GA 30512-2218
Phone (706) 385-2235
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.19 of 100
- Quality
- 69.24
- Improvement activities
- 40
- Cost
- 51.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN107500 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients |
Locations
1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555
308 Deep South Farm Rd
Ste 200
Blairsville, GA 30512
Phone (706) 385-2235
101 Riverstone Vis
Ste 102
Blue Ridge, GA 30513
Phone (706) 258-4140
1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549
Interoperability endpoints
- tina.keatonnp.p1@direct.gacancer.nextgenshare.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- Durable Medical Equipment & Medical Supplies
- Blue Ridge, GA
- NPI 1629329792
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Union General Hospital
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
-
dba Erlanger Murphy Medical Center
- Critical Access Hospital
- Murphy, NC
- NPI 1801831102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1548686272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411072",
"telephone_number": "706-835-2235",
"fax_number": "706-835-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 DEEP SOUTH FARM RD",
"address_2": "SUITE 200",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122218",
"telephone_number": "706-835-2235",
"fax_number": "706-835-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATON",
"first_name": "TINA",
"middle_name": "S",
"name_prefix": "Miss",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN107500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003144263A,B,D",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tina.keatonnp.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "308 Deep South Farm Rd",
"address_2": "Suite 200",
"city": "Blairsville",
"state": "GA",
"country_code": "US",
"postal_code": "305122218",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tina.keatonnp.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "308 Deep South Farm Rd",
"address_2": "Suite 200",
"city": "Blairsville",
"state": "GA",
"country_code": "US",
"postal_code": "305122218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "KEATON",
"prefix": "MISS",
"credential": "NP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.