Individual provider Active NPI

Elizabeth Norman McKeown, MD

  • Colon & Rectal Surgery Physician
  • Okatie, SC
National Provider Identifier
1861711079
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
080224 Issued in GA
Practice address
14 Okatie Center Blvd S Ste 101
Okatie, SC 29909-7555
Phone
(912) 350-8712
Fax
(912) 350-8753
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ML60163192 WA
Surgery Physician 208600000X 080224 GA
Surgery Physician 208600000X 40593 SC
Surgery Physician 208600000X 2016-00238 NC
Colon & Rectal Surgery Physician 208C00000X 2016-00238 NC
Colon & Rectal Surgery Physician 208C00000X 40593 SC
Colon & Rectal Surgery Physician 208C00000X 080224 GA Primary

Addresses

Primary practice location

14 Okatie Center Blvd S Ste 101
Okatie, SC 29909-7555

Mailing address

4700 Waters Ave FL 1
Savannah, GA 31404-6220
Phone (912) 350-8712

Other practice location 1

2001 Vail Ave
Ste 320
Charlotte, NC 28207-1248
Phone (704) 333-0741

Other practice location 2

101 W Mulberry Blvd Ste 101
Savannah, GA 31407-3506
Phone (912) 350-8712

Other practice location 3

4700 Waters Ave
1St Floor Mus BLDG
Savannah, GA 31404-6220
Phone (912) 350-8712

Other identifiers 1

IdentifierTypeStateIssuer
1861711079MedicaidNC

Other names 1

  • Elizabeth Anne Norman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emckeown49227@epicsav.hcadirect.net

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
I20180628001974 GA Practitioner - General Surgery 2769700541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

4700 Waters Ave
1St Floor Mus BLDG
Savannah, GA 31404-6220
Phone (912) 350-7020

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-00238NCMDSurgery Physician
ML60163192WAMDSurgery Physician
080224GAMDColon & Rectal Surgery Physician
40593SCMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Health Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emckeown49227@epicsav.hcadirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861711079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE FL 1",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OKATIE CENTER BLVD S STE 101",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097555",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Vail Ave",
            "address_2": "Ste 320",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071248",
            "country_code": "US",
            "telephone_number": "704-333-0741",
            "fax_number": "704-333-3356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Mulberry Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314073506",
            "country_code": "US",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave",
            "address_2": "1ST FLOOR MUS BLDG",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "ELIZABETH",
        "middle_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML60163192",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "080224",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "40593",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2016-00238",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NC",
            "license": "2016-00238",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "40593",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "080224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861711079",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emckeown49227@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4700 Waters Ave",
            "address_2": "1ST FLOOR MUS BLDG",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NORMAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.