Individual provider Active NPI

Keith M. Parmer, M.D.

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1629095369
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
015200 Issued in GA
Practice address
1501 Shorter Ave SW
Rome, GA 30165-3964
Phone
(706) 291-0584
Fax
(706) 290-0849
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 015200 GA Primary

Addresses

Primary practice location

1501 Shorter Ave SW
Rome, GA 30165-3964

Mailing address

701 Rustic Ridge
Rome, GA 30161-8676
Phone (770) 709-3593

Other identifiers 1

IdentifierTypeStateIssuer
00192453GMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000141 GA Practitioner - Family Practice 0042318818 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015200GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Systems, LLC Family Medicine CurrentSince Jul 11, 2016 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Geps Physician Group of Georgia PC CurrentSince Sep 1, 2016 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Senior Medical Systems Past Accepting new patients

Locations

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

650 Henderson Dr
Ste 430
Cartersville, GA 30120
Phone (404) 334-5859

5131 Warm Springs Rd
Columbus, GA 31909
Phone (706) 561-1371

415 Airport Rd
Griffin, GA 30224
Phone (770) 227-8636

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1629095369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 RUSTIC RIDGE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301618676",
            "telephone_number": "770-709-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SHORTER AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301653964",
            "telephone_number": "706-291-0584",
            "fax_number": "706-290-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMER",
        "first_name": "KEITH",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "015200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00192453G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.