Keith Hawkins, CFSA, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

8498 Glenview St
Douglasville, GA 30134-5639

Phone

(225) 810-7571

NPI assigned

Apr 15, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1982223244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871063",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300870027",
            "telephone_number": "225-810-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8498 GLENVIEW ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345639",
            "telephone_number": "225-810-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KEITH",
        "credential": "CFSA, CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "18-356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Harvey
• Samuel Delafield Haskell, PH.D.
• Megan Leray Hasty, DPT
• Edmond Earl Hattaway, D.C.
• Haven Harmony Homes
• Kyla Zenobia Hawkins
• Lashonne Hawkins
• Imani J. Hawley, LPC
• McCene Joetta Hayes, BS, RBT
• Sylvia Annetta Hayes

• Surgical Physician Assistant in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.