DR. KEISA G. ANDERSON M.D.
NPI 1629286745
Obstetrics & Gynecology in Atlanta, GA

Active since May 21, 2007PECOS Enrolled
4300 PACES FERRY RD SE STE 500, ATLANTA, GA 30339(470) 750-7573(470) 750-6722 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Keisa G. Anderson M.d. NPPES

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

DR. KEISA G. ANDERSON M.D. (NPI 1629286745) is an individual obstetrics & gynecology provider in Atlanta, Georgia, licensed in Georgia (59159) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629286745
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEISA G. ANDERSONCredential: M.D.
Location Address4300 PACES FERRY RD SE STE 500Atlanta, GA 30339-5714
Mailing Address860 Johnson Ferry Rd Ste 140377Atlanta, GA 30342-1435 · (470) 750-7573 · Fax (470) 750-7573
Fax(470) 750-6722
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1629286745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in GA · 59159
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4300 PACES FERRY RD SE STE 500, Atlanta, GA 30339

Other Names 1

Former Name (1)Keisa J. Godwin Md

Other Identifiers 3

Medicaid688965242DGA
Medicaid688965242EGA
Medicaid688965242GGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Keisa G. Anderson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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 19

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

Clinic/Center
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Family Medicine (Sports Medicine)
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Clinic/Center (Health Service)
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Family Medicine
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Internal Medicine
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Clinic/Center
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Family Medicine
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339
Psychiatry & Neurology (Psychiatry)
4300 PACES FERRY RD SE STE 500
ATLANTA, GA 30339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629286745, enumerated as an "individual" on May 21, 2007.

The provider is located at 4300 PACES FERRY RD SE STE 500 ATLANTA, GA 30339 and the phone number is (470) 750-7573.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Oscar Insurance Company, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.