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MARY WATSON KEITH M.D.
NPI 1194073460
Anesthesiology - Hospice and Palliative Medicine in Gainesville, GA

Active since August 17, 2012PECOS Enrolled
1439 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501(770) 219-2628 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2024, Jul 5, 2023, Jun 4, 2021 and 2 more (5 updates tracked since 2017).

About Mary Watson Keith M.d. NPPES

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

MARY WATSON KEITH M.D. (NPI 1194073460) is an individual hospice and palliative medicine provider in Gainesville, Georgia, licensed in Georgia (76603) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194073460
Entity TypeIndividualFemale
Primary Taxonomy207LH0002X
Provider Legal NameMARY WATSON KEITHCredential: M.D.
Location Address1439 JESSE JEWELL PKWY NE STE 201Gainesville, GA 30501-3806
Mailing AddressPo Box 1060Oakwood, GA 30566-0018 · (770) 219-8730
Phone(770) 219-2628
Sole ProprietorNo
Enumeration DateAugust 17, 2012
Last NPPES UpdateJune 6, 20245 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1194073460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LH0002X
License✔ Licensed in GA · 76603
Definition
An anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 076603 (GA)
1439 JESSE JEWELL PKWY NE STE 201, Gainesville, GA 30501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Watson Keith M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Keith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Georgia Physicians Group Inc
0.5 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000

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 6

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
3 suppliers12 claims23 services$5.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims33 services$20.62 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
3 suppliers38 claims39 services$116.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.29 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims1,260 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers14 claims14 services$24.20 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 11

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

SHANY ALEXANDRA FREUND MARAVANKIN MD
Family Medicine
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-0023
KINNERA SAHITHI URLAPU MD
Internal Medicine (Pulmonary Disease)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-9673
SARAH MARIE TRAN AGACNP
Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-9179
DR. STEFANIE KANANDA D.O.
Internal Medicine (Pulmonary Disease)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-9673
VALERY MELISSA CEPEDA PHARMD
Pharmacist
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-7031
RAHUL G SANGANI MD
Internal Medicine (Pulmonary Disease)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-9673
SARAH MARIE SHORR AGACNP
Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-9179
MR. ROBERT BLAKE JOHNSON AGACNP
Nurse Practitioner (Acute Care)
1439 JESSE JEWELL PKWY NE STE 201
GAINESVILLE, GA 30501
Hall County (770) 219-9676

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 Mary Keith's NPI number?

The NPI number for Mary Keith is 1194073460. It was assigned to this individual provider in the NPPES registry on August 17, 2012.

Where is Mary Keith located?

Mary Keith practices at 1439 Jesse Jewell Pkwy NE Ste 201, Gainesville, GA 30501. The listed phone number is (770) 219-2628.

What is Mary Keith's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Hospice and Palliative Medicine, with taxonomy code 207LH0002X.

Is Mary Keith enrolled in Medicare?

Yes. Mary Keith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Keith reassigns Medicare benefits to Northeast Georgia Physicians Group Inc (Gainesville, GA). The 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 Mary Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Keith accept?

Health plans from Alliant Health Plans, Inc. list Mary 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 Mary Keith was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.