Individual provider Active NPI

Alan C Keys, M.D.

  • Surgery Physician
  • North Wilkesboro, NC
National Provider Identifier
1891711073
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
38994 Issued in NC
Practice address
233 Jefferson St
North Wilkesboro, NC 28659-3538
Phone
(336) 667-9300
Fax
(336) 667-0655
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Brody School of Medicine at East Carolina University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Specialists of North Carolina, PLLC 17 clinicians

Practice addresses (Care Compare)

218 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 838-7461

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1116
Skin biopsy1-10

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061031000197 NC Practitioner - General Surgery 1355348699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38994NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Specialists of North Carolina, PLLC Surgery CurrentSince May 30, 2015 Accepting new patients
Leonard a Baugham Sr MD, PLLC Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1501 Tate Blvd SE
Ste 105
Hickory, NC 28602
Phone (828) 485-0324

134 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 660-2622

3722 Bridges St
Morehead City, NC 28557
Phone (252) 622-4033

1900 W Park Dr
Ste C
North Wilkesboro, NC 28659
Phone (336) 903-6920

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 38994 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

233 Jefferson St
North Wilkesboro, NC 28659-3538

Mailing address

233 Jefferson St
North Wilkesboro, NC 28659-3538
Phone (336) 667-9300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8948749MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2012.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1891711073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 JEFFERSON ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593538",
            "telephone_number": "336-667-9300",
            "fax_number": "336-667-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 JEFFERSON ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593538",
            "telephone_number": "336-667-9300",
            "fax_number": "336-667-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "ALAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "38994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.