FAYETTEVILLE FAMILY PRACTICE
NPI 1407989155
Family Medicine - Adult Medicine in Fayetteville, GA

Q: What is John A Keller, MD, PC's NPI number?

The NPI number for John A Keller, MD, PC is 1407989155. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Fayetteville Family Practice.

Q: What is John A Keller, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since March 13, 2007

108 N PARK DR, FAYETTEVILLE, GA 30214(770) 461-3466 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fayetteville Family Practice NPPES

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

FAYETTEVILLE FAMILY PRACTICE (NPI 1407989155) is a healthcare organization registered as an adult medicine in Fayetteville, Georgia and active in the NPI registry since March 2007. The organization lists John Keller, President, as its authorized official.

NPPES Registry Identity

NPI1407989155

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameJOHN A KELLER, MD, PC

Location Address108 N PARK DRFayetteville, GA 30214-1645

Mailing Address108 N Park DrFayetteville, GA 30214-1645 · (770) 461-3466

Phone(770) 461-3466

Organization SubpartNo

Authorized OfficialJohn KellerPresident · (770) 461-3466

Enumeration DateMarch 13, 2007

Last NPPES UpdateApril 20, 2016

✔ NPI 1407989155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in GA · 020555

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

108 N PARK DR, Fayetteville, GA 30214

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Other Names 1

Doing Business AsFayetteville Family Practice

Group Practice 1

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

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.

MRS. KAREN WHATLEY MCDONALD MSN, FNP-C

Nurse Practitioner (Family)

108 N PARK DR
FAYETTEVILLE, GA 30214

Fayette County (770) 461-3466

MS. JACQUELINE DENISE ROSS CRNP

Nurse Practitioner (Primary Care)

108 N PARK DR
FAYETTEVILLE, GA 30214

Fayette County (770) 487-7807

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 John A Keller, MD, PC's NPI number?

The NPI number for John A Keller, MD, PC is 1407989155. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Fayetteville Family Practice.

Where is John A Keller, MD, PC located?

John A Keller, MD, PC is located at 108 N Park Dr, Fayetteville, GA 30214. The listed phone number is (770) 461-3466.

What is John A Keller, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for John A Keller, MD, PC was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.