Mark William Keenan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

40436 Issued in GA

Practice address

770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516

Phone

(478) 743-1458

Fax

(478) 755-1332

NPI assigned

Oct 24, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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 2

Specialty

Diagnostic Radiology

Education

University of Maryland School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Macon PCGroup PAC ID 7113817701, 64 clinicians

Central Georgia MRI LLCGroup PAC ID 5597752261, 46 clinicians

Georgia Magnetic Imaging Center LTDGroup PAC ID 0042205775, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
• Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
• Atrium Health Navicent Rehabilitation Hospital Inpatient rehabilitation facility, Macon, GA, CCN 113029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Central Georgia MRI LLC

  • Diagnostic Radiology Physician
  • Macon, GA
  • NPI 1114908522

  Diagnostic Radiology, GA

  Medicare reassignment Care Compare group NPD
• Georgia Magnetic Imaging Center LTD

  • Diagnostic Radiology Physician
  • Macon, GA
  • NPI 1114900545

  Diagnostic Radiology, GA

  Medicare reassignment Care Compare group NPD
• Radiology Associates of Macon PC

  • Diagnostic Radiology Physician
  • Macon, GA
  • NPI 1679563035

  Diagnostic Radiology, GA

  Medicare reassignment Care Compare group NPD

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

• Central Georgia Rehabilitation

  • Rehabilitation Hospital
  • Macon, GA
  • NPI 1366450710

  Inpatient rehabilitation facility

  Care Compare affiliation
• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643

  Hospital

  Care Compare affiliation
• Macon Northside Hospital, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976

  Hospital

  Care Compare affiliation
• Navicent Health Baldwin, Inc

  • General Acute Care Hospital
  • Milledgeville, GA
  • NPI 1841701562

  Hospital

  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564

  Hospital

  Care Compare affiliation
• The Medical Center of Peach County, Inc

  • Critical Access Hospital
  • Byron, GA
  • NPI 1114923406

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1932199742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 290",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017516",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE 290",
            "address_2": "ATTN: RADIOLOGY DEPARTMENT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017516",
            "telephone_number": "478-743-1458",
            "fax_number": "478-755-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "40436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000817341B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Kazi
• Mohummed Shahroze Kazmi, MD
• Kushal KC, M.D.
• Keen Immediate Care Clinic
• Krista Lauren Keen, NP
• Brandy Keeter
• Ashley J Keeton, CRNA
• Thomas Earl Kehl, MD
• Fiona Claire Kehoe, MD
• Emily Christina Kell, PT, ECS

• All providers in Macon, GA
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.