Bethany Lynn Keith, MS, RDN, LD, CNSC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Practice address

850 Dogwood Rd Ste B2002319
Lawrenceville, GA 30044-7218

Phone

(770) 284-0518

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethanykeith@tdh.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/JGACDD

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.

• Kidney Clinic Cordele LLC

  • Nephrology Physician
  • Cordele, GA
  • NPI 1336726215
  Medicare reassignment NPD
• Valdosta Kidney Clinic, LLC

  • Specialist
  • Valdosta, GA
  • NPI 1215109087
  Medicare reassignment NPD
• South Carolina Nephrology and Hypertension

  • Nephrology Physician
  • Orangeburg, SC
  • NPI 1134219223
  Medicare reassignment NPD
• Keith Investments LLC

  dba CKD Dietitian

  • Renal Nutrition Registered Dietitian
  • Lawrenceville, GA
  • NPI 1992447486

  Nutrition, Renal

  NPD Authorized official
• Andre D. Feria MD PC

  • Nephrology Physician
  • Lagrange, GA
  • NPI 1386780104
  Medicare reassignment
• Ahmed Elsharkawi MD LLC

  • Nephrology Physician
  • Brunswick, GA
  • NPI 1184856494
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Dietitian, Registered

  NPD
• Sleep Solutions, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Valdosta, GA
  • NPI 1720199383
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1972105070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 DOGWOOD RD STE B2002319",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 DOGWOOD RD STE B2002319",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447218",
            "telephone_number": "770-284-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Milstead Rd NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123857",
            "country_code": "US",
            "telephone_number": "770-761-8097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Dogwood Rd Ste B2002319",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300447218",
            "country_code": "US",
            "telephone_number": "770-284-0518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "MS, RDN, LD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keem Spine Institute, P.C
• Nikky Keer, D.O.
• Megan Keeton, CNIM
• Dina Keever
• Keith Investments LLC (CKD Dietitian)
• Lois M Keller, OTR/L
• Joan Irene Kelley, RN
• Kelli Sadler Medical Supply
• Kellie Smith Castro Dentistry LLC (Dentistry At The Mills)
• Melinda Kelly, M.ED.,CCC-SLP

• Renal Nutrition Registered Dietitian in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Renal Nutrition Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.