Keegan Paulson, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101287186 Issued in VA

Practice address

4389 Beaufort Rd
Havelock, NC 28532

Phone

(252) 466-0921

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1902665177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-466-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 BEAUFORT RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "28532",
            "telephone_number": "252-466-0921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890004",
            "country_code": "US",
            "telephone_number": "301-295-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "KEEGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101287186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akosua NMN Osei-Tutu
• Erika Merite Papenfuss, RN, CRNA
• Stephen T Parker, MS,PES,EMT
• Pat R. Robbins Consultations
• Andrew Michael Paul, DO
• Mary Pelton, DNP, RN, PMHNP-BC
• Amy Mercer Peoples
• Stefen Charles Petry, DPT
• John Bradford Price, PSY.D.
• Sara Janine Quan, M.D.

• General Practice Physician in Havelock, NC
• Providers in Havelock, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.