Individual provider Active NPI

Cheryl M. Keats, LCSW

  • Clinical Social Worker
  • Ellijay, GA
National Provider Identifier
1841254307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001990 Issued in GA
Practice address
89 Hospital Cir
Suite 8
Ellijay, GA 30540-9668
Phone
(706) 698-2400
Fax
(706) 698-2401
NPI assigned
Apr 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 001990 GA Primary

Addresses

Primary practice location

89 Hospital Cir
Suite 8
Ellijay, GA 30540-9668

Mailing address

89 Hospital Cir
Suite 8
Ellijay, GA 30540-9668
Phone (706) 698-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130710000912 SC Practitioner - Clinical Social Worker 0345219531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

440 Jardinere Walk
Mt Pleasant, SC 29464-7835
Phone (843) 469-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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.

State licenses

LicenseStateTypeSpecialty
001990GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beginnings Psychology Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841254307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL CIR",
            "address_2": "SUITE 8",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305409668",
            "telephone_number": "706-698-2400",
            "fax_number": "706-698-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL CIR",
            "address_2": "SUITE 8",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305409668",
            "telephone_number": "706-698-2400",
            "fax_number": "706-698-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATS",
        "first_name": "CHERYL",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

Verify at the official NPI Registry.