DR. KEITH E SHEPARD DDS
NPI 1386855880
Dentist in Smyrna, GA

Q: What is Keith Shepard's NPI number?

The NPI number for Keith Shepard is 1386855880. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Keith Shepard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Shepard was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 25, 2007PECOS Enrolled

705 WINDY HILL RD SE, SMYRNA, GA 30080(770) 801-1641(770) 801-0587 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Keith E Shepard Dds NPPES

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

DR. KEITH E SHEPARD DDS (NPI 1386855880) is an individual dentist in Smyrna, Georgia, licensed in Georgia (DN014208) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1386855880

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KEITH E SHEPARDCredential: DDS

Location Address705 WINDY HILL RD SESmyrna, GA 30080-1854

Mailing Address705 Windy Hill Rd SeSmyrna, GA 30080-1854 · (770) 801-1641 · Fax (770) 801-0587

Phone(770) 801-1641

Fax(770) 801-0587

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateMay 25, 2007

Last NPPES UpdateJuly 26, 2013

✔ NPI 1386855880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN014208

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

705 WINDY HILL RD SE, Smyrna, GA 30080

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Other Identifiers 1

Medicaid003122728BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith E Shepard Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668951120

PECOS Enrollment IDI20260205002450

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 Keith Shepard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Houston County Health Department

84 mi

Public Health, State or Local

3920 ARKWRIGHT RD STE 415
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
6 clinicians in this Medicare group

NPI 1689631715 (478) 464-0612

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. THEODIS ELZIE D.D.S.

Dentist

705 WINDY HILL RD SE
SMYRNA, GA 30080

Cobb County (770) 801-1641

THEODIS ELZIE, D.D.S., P.C.

Dentist

705 WINDY HILL RD SE
SMYRNA, GA 30080

Cobb County (770) 808-1641

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 Keith Shepard's NPI number?

The NPI number for Keith Shepard is 1386855880. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Keith Shepard located?

Keith Shepard practices at 705 Windy Hill Rd SE, Smyrna, GA 30080. The listed phone number is (770) 801-1641.

What is Keith Shepard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Keith Shepard enrolled in Medicare?

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

Which organization bills Medicare for Keith Shepard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Shepard reassigns Medicare benefits to Houston County Health Department (Macon, 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 Keith Shepard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Shepard accept?

Health plans from Humana list Keith Shepard 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 Keith Shepard was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.