Individual provider Active NPI

John Wayne Keeling, M.D.

  • Orthopaedic Surgery Physician
  • Reidsville, NC
National Provider Identifier
1558362889
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20812 Issued in NC
Practice address
601 S Main St
Reidsville, NC 27320-5019
Phone
(336) 342-6116
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20812 NC Primary

Addresses

Primary practice location

601 S Main St
Reidsville, NC 27320-5019

Mailing address

601 S Main St
Reidsville, NC 27320-5019
Phone (336) 342-6116

Other identifiers 1

IdentifierTypeStateIssuer
8902567MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wkeeling4302@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20101119000995 NC Practitioner - Orthopedic Surgery 8426169905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth University, School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

601 S Main St
Reidsville, NC 27320-5035
Phone (336) 951-4930

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20812NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Orthopaedic Surgery Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 29, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 29, 2022 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Feb 1, 2017 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Feb 1, 2017 Accepting new patients

Locations

3518 Drawbridge Pkwy
Ste 240
Greensboro, NC 27410
Phone (336) 275-0927

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

601 S Main St
Reidsville, NC 27320
Phone (336) 342-6116

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1558362889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205019",
            "telephone_number": "336-342-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205019",
            "telephone_number": "336-342-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELING",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "20812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902567",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wkeeling4302@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 S Main St",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273205019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.