DOUGLAS CHARLES KEITH MD
NPI 1063444198
General Practice in Goldsboro, NC

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
104A ADAIR DR, GOLDSBORO, NC 27530(919) 648-4435(910) 356-2311 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Douglas Charles Keith Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS CHARLES KEITH MD (NPI 1063444198) is an individual general practice provider in Goldsboro, North Carolina, licensed in North Carolina (30184) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Garner, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1063444198
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDOUGLAS CHARLES KEITHCredential: MD
Location Address104A ADAIR DRGoldsboro, NC 27530-4516
Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-2042 · Fax (855) 996-9090
Fax(910) 356-2311
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1063444198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 30184
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
104A ADAIR DR, Goldsboro, NC 27530

Secondary Practice Location 1

Location 1220 US Highway 70 WGarner, NC 27529-3943 · Phone (919) 779-7890 · Fax (919) 779-7896

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Charles Keith Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406166487
PECOS Enrollment IDI20151103001390
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Douglas Keith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
104 ADAIR DR # A
Goldsboro, NC 27530
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1011 ROCK QUARRY ROAD
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1952760290 (North Carolina)
  • 92 clinicians in this Medicare group
Urgent Care
5718 W GATE CITY BLVD
Greensboro, NC 27407
  • Reassigned Medicare billing, North Carolina enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers34 claims86 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims25 services$1.10 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims4,697 services$0.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$85.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
104A ADAIR DR
GOLDSBORO, NC 27530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Keith's NPI number?

The NPI number for Douglas Keith is 1063444198. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Douglas Keith located?

Douglas Keith practices at 104A Adair Dr, Goldsboro, NC 27530. The listed phone number is (919) 648-4435.

What is Douglas Keith's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Douglas Keith enrolled in Medicare?

Yes. Douglas Keith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Douglas Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Keith reassigns Medicare benefits to 3 organizations: Goshen Medical Center Incorporated (Goldsboro, NC), Advance Community Health, Inc (Raleigh, NC) and Mediq Urgent Care PC (Greensboro, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Keith accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Douglas Keith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Keith was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.