Individual provider Active NPI

Keisha McEwen, M.D.

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1851568273
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
67678 Issued in GA
Practice address
550 Peachtree St NE Ste 1220
Atlanta, GA 30308-2237
Phone
(404) 230-5622
Fax
(404) 230-5623
NPI assigned
May 14, 2008
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 67678 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1220
Atlanta, GA 30308-2237

Mailing address

550 Peachtree St NE Ste 1220
Atlanta, GA 30308-2237
Phone (404) 230-5622

Other names 1

  • Keisha D Endsley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Keisha.mcewen.1@9418.direct.athenahealth.com Direct

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
I20120904000804 GA Practitioner - Obstetrics/Gynecology 0840447421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Peachtree St NE
Suite 1220
Atlanta, GA 30308-2237
Phone (404) 230-5622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67678GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kem Health, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Crawford Long Hospital Past Accepting new patients
Privia Medical Group of Georgia LLC Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1220
Atlanta, GA 30308
Phone (404) 230-5622

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9418/brand/1/csg/1/fhir/r4
  • Direct secure messaging: keisha.mcewen.1@9418.direct.athenahealth.com
  • Direct secure messaging: keisha.mcewen@oconeeregional.gadirect.net

Organizations & group practices 4

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1851568273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082237",
            "telephone_number": "404-230-5622",
            "fax_number": "404-230-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082237",
            "telephone_number": "404-230-5622",
            "fax_number": "404-230-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "KEISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "67678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Keisha.mcewen.1@9418.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "550 Peachtree St NE Ste 1220",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303082237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "ENDSLEY",
            "middle_name": "D",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.