KEITH LONDON
NPI 1487177358
Counselor - Professional in Atlanta, GA

Active since July 21, 2017PECOS Enrolled
5526 OLD NATIONAL HWY, ATLANTA, GA 30349(404) 543-4497 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith London NPPES

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

KEITH LONDON (NPI 1487177358) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (APC003645) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487177358
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEITH LONDON
Location Address5526 OLD NATIONAL HWYAtlanta, GA 30349-3212
Mailing Address1616 Village Place Cir NeConyers, GA 30012-7108 · (404) 543-4497
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 21, 2017
✔ NPI 1487177358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · APC003645
5526 OLD NATIONAL HWY, Atlanta, GA 30349

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith London is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729523063
PECOS Enrollment IDI20260519001722
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

2

Medicare enrollment records show Keith London reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Georgia enrollments
  • 1,424 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
6101 W COURTYARD DR STE 2-225
Austin, TX 78730
  • Reassigned Medicare billing, Georgia enrollment
  • 3 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.

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.

Internal Medicine
5526 OLD NATIONAL HWY, BLDG. J
ATLANTA, GA 30349
Internal Medicine
5526 OLD NATIONAL HWY, SUITE B, BLDG J
ATLANTA, GA 30349

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 London's NPI number?

The NPI number for Keith London is 1487177358. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Keith London located?

Keith London practices at 5526 Old National Hwy, Atlanta, GA 30349. The listed phone number is (404) 543-4497.

What is Keith London's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Keith London enrolled in Medicare?

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

Which organizations bill Medicare for Keith London's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith London reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Us Televero Health PA (Austin, TX). 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 Keith London's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith London accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health list Keith London 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 London was last updated on July 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.