Individual provider Active NPI

Keith Carlton Buchanan Jr., MD

  • Emergency Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1922140706
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
040625 Issued in GA
Practice address
9810C Medlock Bridge Rd Ste C500
Johns Creek, GA 30097-2014
Phone
(770) 559-8306
Fax
(770) 796-0375
NPI assigned
Feb 12, 2007
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 040625 GA Primary

Addresses

Primary practice location

9810C Medlock Bridge Rd Ste C500
Johns Creek, GA 30097-2014

Mailing address

9810C Medlock Bridge Rd Ste C500
Johns Creek, GA 30097-2014
Phone (770) 559-8306

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30045-7694
Phone (678) 442-3317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TX, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080519000520 GA Practitioner - Emergency Medicine 0042395907 Reassigns benefits to 2 organizations
I20220302002997 FL Practitioner - Emergency Medicine 0042395907 Reassigns benefits to 1 organization
I20220408000557 TX Practitioner - Emergency Medicine 0042395907 Reassigns benefits to 1 organization
I20221026001701 AZ Practitioner - Emergency Medicine 0042395907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Emergency Specialists Observation Services LLCGroup PAC ID 7618140955, 38 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313460NYMDLicensed Practical Nurse
040625GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Gwinnett Emergency Specialists, LLC Emergency Medicine CurrentSince Jan 1, 2008 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Dec 20, 2022 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine Current Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC Emergency Medicine CurrentSince Aug 1, 2011 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Jan 15, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Life Line Ambulance Service Inc PastSince Jul 21, 2024 Accepting new patients
Medevac Midamerica Inc PastSince Sep 5, 2023 Accepting new patients

Locations

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northside Hospital ForsythCumming, GA, CCN 110005 Hospital Corporate Director Aug 28, 2019
Northside Hospital AtlantaAtlanta, GA, CCN 110161 Hospital Corporate Director Aug 28, 2019
Northside Hospital CherokeeCanton, GA, CCN 110008 Hospital Corporate Director Aug 28, 2019
Northside Hospital GwinnettLawrenceville, GA, CCN 110087 Hospital Corporate Director Aug 28, 2019
Northside Hospital DuluthDuluth, GA, CCN 110252 Hospital Corporate Director Aug 28, 2019
Northside Hospital IncDuluth, GA, CCN 11T252 Hospital Corporate Director Aug 8, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1922140706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810C MEDLOCK BRIDGE RD STE C500",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972014",
            "telephone_number": "770-559-8306",
            "fax_number": "770-796-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810C MEDLOCK BRIDGE RD STE C500",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972014",
            "telephone_number": "770-559-8306",
            "fax_number": "770-796-0375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300457694",
            "country_code": "US",
            "telephone_number": "678-442-3317",
            "fax_number": "678-442-4416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KEITH",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "040625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.