Active NPI
Keith Raymond Sterett
- Physician Assistant
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2467 Golden Camp Rd
Augusta, GA 30906-5515 - Phone
- (706) 790-4440
- Fax
- (706) 790-4393
- NPI assigned
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2467 Golden Camp Rd
Augusta, GA 30906-5515
Mailing address
2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440
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
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
2300 Wrightsboro Rd
Augusta, GA 30904-6220
Phone (706) 790-4440
2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440
501 E Broad St
Wrens, GA 30833-1185
Phone (706) 790-4440
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Past | Accepting new patients |
Locations
2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682
3685 Wheeler Rd
Augusta, GA 30909
Phone (706) 869-9000
Interoperability endpoints
- keith.sterett@mapbt.eclinicaldirectplus.com
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.
-
- Primary Podiatric Medicine Podiatrist
- Evans, GA
- NPI 1124984224
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Federally Qualified Health Center (FQHC)
- Thomson, GA
- NPI 1164134664
-
- Federally Qualified Health Center (FQHC)
- Evans, GA
- NPI 1740158922
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1700900867
-
- Federally Qualified Health Center (FQHC)
- Wrens, GA
- NPI 1760815773
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1770033904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2467 GOLDEN CAMP RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309065515",
"telephone_number": "706-790-4440",
"fax_number": "706-790-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2467 GOLDEN CAMP RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309065515",
"telephone_number": "706-790-4440",
"fax_number": "706-790-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERETT",
"first_name": "KEITH",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.