KEITH M DOCKERY, MD PC NPI 1003000308

Audiologist in Atlanta, GA

About KEITH M DOCKERY, MD PC

Keith M Dockery, Md Pc is a provider in Atlanta, GA. The NPI number assigned to this provider is 1003000308. The practitioner's primary taxonomy code is Audiologist (231H00000X). The provider is registered as an organization and their NPI record was last updated 7 years ago. Keith M Dockery, Md Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Buckhead Ear, Nose And Throat.

NPI	1003000308 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	KEITH M DOCKERY, MD PC
Provider Location Address	1800 PEACHTREE ST NW SUITE 700 ATLANTA, GA 30309 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1800 PEACHTREE ST NW SUITE 700 ATLANTA, GA 30309 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization Name	BUCKHEAD EAR, NOSE AND THROAT Provider other organization name The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; : 5 = other.
Other Name Type	Doing Business As (3)
Enumeration Date	08-29-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	03-22-2011 Last update date The date that a record was last updated or changed.

Business Address

KEITH M DOCKERY, MD PC
1800 PEACHTREE ST NW
SUITE 700
ATLANTA, GA
ZIP 30309
Phone: (404) 350-7966
Fax: (404) 350-7968
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Mailing Address

KEITH M DOCKERY, MD PC
1800 PEACHTREE ST NW
SUITE 700
ATLANTA, GA
ZIP 30309
Phone: (404) 350-7966
Fax: (404) 350-7968

Primary Taxonomy

Taxonomy Code	231H00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Audiologist
Type	Speech, Language and Hearing Service Providers
License No.	AUD003711
License State	GA
Taxonomy Description	(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Authorized Official

Authorized Official Name	MS. MELISSA PARKS DILL Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	PRACTICE MANAGER
Authorized Official Phone	(404) 350-7966

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
443781A	MEDICAID (05)	GA
04BDBFC	MEDICARE UPIN (02)	GA

Map Location

KEITH M DOCKERY, MD PC address is 1800 PEACHTREE ST NW SUITE 700 ATLANTA, GA 30309

Other Providers at the same location

The following 17 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1053719393	PCA INTERVENTIONAL SPINE AT MACQUARIUM Organization	Clinic/Center (Pain)	1800 PEACHTREE ST NW SUITE 775 ATLANTA, GA 30309 (404) 351-7654
1083768691	PEACHTREE GYNECOLOGY, P.C. Organization	Obstetrics & Gynecology (Gynecology)	1800 PEACHTREE ST NW 650 ATLANTA, GA 30309 (678) 539-5980
1104869098	DR. CYNTHIA MCCALEB M.D. Individual	Internal Medicine	1800 PEACHTREE ST NW SUITE 660 ATLANTA, GA 30309 (404) 355-9119
1114973021	WILLIAM F KEETON MD Individual	Pain Medicine (Interventional Pain Medicine)	1800 PEACHTREE ST NW SUITE 400 ATLANTA, GA 30309 (404) 351-7654
1174738116	MR. VICTOR ALVIN TEDOFF LCSW Individual	Social Worker (Clinical)	1800 PEACHTREE ST NW SUITE 310 ATLANTA, GA 30309 (404) 606-0436
1215928031	SHARON HARLEY, MD., P.C. Organization	Clinic/Center (Ambulatory Family Planning Facility)	1800 PEACHTREE ST NW SUITE 450 ATLANTA, GA 30309 (678) 904-5999
1265484208	DR. RODRIGO A DURALDE M.D. Individual	Pain Medicine (Interventional Pain Medicine)	1800 PEACHTREE ST NW SUITE 400 ATLANTA, GA 30309 (404) 351-7654
1316949571	DR. ELAINA FLOSSIE GEORGE M.D. Individual	Specialist	1800 PEACHTREE ST NW SUITE 650 ATLANTA, GA 30309 (404) 591-9100
1346515731	ATLANTA WOMENS SPECIALITY GROUP II LLC Organization	Obstetrics & Gynecology	1800 PEACHTREE ST NW SUITE 450 ATLANTA, GA 30309 (678) 904-5999
1356331797	SHARON HARLEY,MD., P.C. Organization	Clinic/Center (Ambulatory Family Planning Facility)	1800 PEACHTREE ST NW SUITE 450 ATLANTA, GA 30309 (678) 904-5999
1477649002	ELEANORE E PURSER PT Individual	Contractor	1800 PEACHTREE ST NW ATLANTA, GA 30309 (404) 605-9091
1669614343	HARLEY ANTI-AGING INSTITUTE LLC Organization	Durable Medical Equipment & Medical Supplies	1800 PEACHTREE ST NW SUITE 455 ATLANTA, GA 30309 (678) 500-1066
1699917146	DAVID HOBBS L.AC. Individual	Acupuncturist	1800 PEACHTREE ST NW SUITE 420 ATLANTA, GA 30309 (404) 605-9091
1780836494	INSPIRE HEALTH LLC Organization	Clinic/Center	1800 PEACHTREE ST NW SUITE 420 ATLANTA, GA 30309 (404) 605-9091
1811035652	PEACHTREE ALLERGY AND ASTHMA CLINIC PC Organization	Allergy & Immunology (Allergy)	1800 PEACHTREE ST NW SUITE 720 ATLANTA, GA 30309 (404) 351-7520
1902267206	MRS. MEGHAN SHEA GUNTER NP-C Individual	Nurse Practitioner (Family)	1800 PEACHTREE ST NW SUITE 800 ATLANTA, GA 30309 (855) 729-2272
1972539146	DR. ANNE K WISKIND MD Individual	Obstetrics & Gynecology (Gynecology)	1800 PEACHTREE ST NW SUITE 650 ATLANTA, GA 30309 (678) 539-5980