Individual provider Active NPI

Andrea Leigh Keever, PA-C

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1841897154
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001012128 Issued in NC
Practice address
52 12TH Ave NE Ste 101
Hickory, NC 28601-2799
Phone
(828) 447-7072
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 001012128 NC Primary

Addresses

Primary practice location

52 12TH Ave NE Ste 101
Hickory, NC 28601-2799

Mailing address

4674 US Highway 64
Union Mills, NC 28167-9100
Phone (828) 447-7072

Other practice location 1

1771 Tate Blvd SE Ste 101
Hickory, NC 28602-4250
Phone (828) 304-2527

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
I20220420002994 NC Practitioner - Physician Assistant 0042607012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1771 Tate Blvd SE
Hickory, NC 28602-4250

915 Tate Blvd SE
Hickory, NC 28602-4042

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001012128NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2022 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2022 Accepting new patients
DLP Frye Medical Group LLC Physician Assistant Past Accepting new patients

Locations

52 12th Ave NE
Ste 101
Hickory, NC 28601
Phone (828) 324-4200

1771 Tate Blvd SE
Ste 101
Hickory, NC 28602
Phone (828) 315-5110

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

52 12th Ave NE
Hickory, NC 28601
Phone (828) 328-2941

1041 Morganton Blvd SW
#200
Lenoir, NC 28645
Phone (828) 991-4660

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: andrea.keever.1@15786.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1841897154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 US HIGHWAY 64",
            "city": "UNION MILLS",
            "state": "NC",
            "postal_code": "281679100",
            "telephone_number": "828-447-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 12TH AVE NE STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012799",
            "telephone_number": "828-447-7072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Tate Blvd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024250",
            "country_code": "US",
            "telephone_number": "828-304-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEVER",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001012128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.