Individual provider Active NPI

Roger Clifford Keever, PA

  • Medical Physician Assistant
  • Lenoir, NC
National Provider Identifier
1669508024
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
103238 Issued in NC
Practice address
2345 Morganton Blvd SW
Lenoir, NC 28645-4973
Phone
(828) 426-8433
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 103238 NC Primary

Addresses

Primary practice location

2345 Morganton Blvd SW
Lenoir, NC 28645-4973

Mailing address

2345 Morganton Blvd SW
P.O. Box 400
Lenoir, NC 28645-4973
Phone (828) 426-8433

Other identifiers 1

IdentifierTypeStateIssuer
103238OtherNCNC MEDICAL BOARD PA LICEN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000260 NC Practitioner - Physician Assistant 8426192204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Caldwell CurrentSince Feb 5, 2010 Accepting new patients

Locations

2345 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 426-8400

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669508024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "address_2": "P.O. BOX 400",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-426-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-426-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEVER",
        "first_name": "ROGER",
        "middle_name": "CLIFFORD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD PA LICEN",
            "identifier": "103238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.