Individual provider Active NPI

Keisha Camille Maloney, MD

  • Rheumatology Physician
  • Covington, GA
National Provider Identifier
1992996540
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
88383 Issued in GA
Practice address
4181 Hospital Dr NE Ste 204
Covington, GA 30014-2541
Phone
(678) 342-8673
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME136508 FL
Rheumatology Physician 207RR0500X ME136508 FL
Rheumatology Physician 207RR0500X 88383 GA Primary

Addresses

Primary practice location

4181 Hospital Dr NE Ste 204
Covington, GA 30014-2541

Mailing address

1646 33Rd St Ste 101
Orlando, FL 32839-8866
Phone (407) 409-8118

Other practice location 1

1646 33rd St Ste 101
Orlando, FL 32839
Phone (407) 409-8118

Other practice location 2

623 51st St
apt 1r
Brooklyn, NY 11220-2145
Phone (646) 479-8397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210428002220 GA Practitioner - Rheumatology 6406105261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

4181 Hospital Dr NE
Suite 204
Covington, GA 30014-2541
Phone (770) 788-6524

Hospital & facility affiliations

  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
92.57
Improvement activities
40
Cost
75.37

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136508FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC Internal Medicine CurrentSince Feb 6, 2024 Accepting new patients
Bolad Arthritis & Rheumatology Clinic, P.a. Rheumatology CurrentSince Jul 1, 2018 Accepting new patients
Satilla Rheumatology and Internal Medicine, PC CurrentSince May 10, 2021 Accepting new patients

Locations

5750 Major Blvd
Ste 150
Orlando, FL 32819
Phone (407) 409-8118

1646 33rd St
Ste 101
Orlando, FL 32839
Phone (407) 409-8118

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

223 Bay St
Baxley, GA 31513
Phone (912) 548-0710

4181 Hospital Dr NE
Ste 204
Covington, GA 30014
Phone (678) 766-8999

615 Pendleton St
Ste A
Waycross, GA 31501
Phone (912) 548-0710

Interoperability endpoints

  • Direct secure messaging: keisha.maloney.p1@direct.satillarheum.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1992996540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 33RD ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398866",
            "telephone_number": "407-409-8118",
            "fax_number": "407-930-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE STE 204",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "678-342-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1646 33rd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32839",
            "country_code": "US",
            "telephone_number": "407-409-8118",
            "fax_number": "407-930-4522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 51st St",
            "address_2": "apt 1r",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202145",
            "country_code": "US",
            "telephone_number": "646-479-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KEISHA",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136508",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME136508",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "88383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.