Michael Keller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02210 Issued in NC

Practice address

101B Eldon Parks Dr
Elkin, NC 28621-2455

Phone

(336) 526-2307

NPI assigned

Feb 1, 2010

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hugh Chatham Memorial Hospital, Inc.Group PAC ID 2062311442, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097
• Alleghany Memorial Hospital Hospital, Sparta, NC, CCN 341320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkeller@tco.gwaydirect.com

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.

• Hugh Chatham Memorial Hospital, Inc.

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment Care Compare group
• Hugh Chatham Memorial Hospital, Inc

  • Home Health Agency
  • Elkin, NC
  • NPI 1033344080
  NPD
• Hugh Chatham Memorial Hospital, Inc

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD
• Alleghany County Memorial Hospital Inc

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1356318968
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alleghany County Memorial Hospital Inc

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1356318968
  Care Compare affiliation
• Hugh Chatham Memorial Hospital Inc

  • General Acute Care Hospital
  • Elkin, NC
  • NPI 1942361308
  Care Compare affiliation
• Hugh Chatham Memorial Hospital, Inc.

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1679428486

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1598097685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213314",
            "telephone_number": "336-401-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101B ELDON PARKS DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212455",
            "telephone_number": "336-526-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-01",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim a. Harrell, Jr., D.D.S., PA
• Brooke Patterson Johnson, CCC-SLP
• Tonya Caudill Johnson, FNP-BC
• Rachel Eidson Jones, FNP
• Monica L Keener, FNP
• Kids Count Pediatrics, PLLC
• Kids Count Pediatrics, PLLC
• Jade McCormick Kiger, FNP
• Jennifer Byrd King, FNP - C
• Jessica King, FNP-C

• Physician Assistant in Elkin, NC
• Providers in Elkin, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.