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JOHN A KELLER MD
NPI 1962462937
Family Medicine in Fayetteville, GA

Active since March 24, 2006
108 NORTH PARK DR, FAYETTEVILLE, GA 30214(770) 461-3466(770) 461-3884 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John A Keller Md NPPES

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

JOHN A KELLER MD (NPI 1962462937) is an individual family medicine provider in Fayetteville, Georgia, licensed in Georgia (20555) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1962462937
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN A KELLERCredential: MD
Location Address108 NORTH PARK DRFayetteville, GA 30214
Mailing Address108 North Park DrFayetteville, GA 30214 · (770) 461-3466 · Fax (770) 461-3884
Phone(770) 461-3466
Fax(770) 461-3884
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateMarch 10, 2016
✔ NPI 1962462937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 20555
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSpecialistTaxonomy 174400000X · License 20555 (GA), 00007369 (AL)
108 NORTH PARK DR, Fayetteville, GA 30214
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Other Identifiers 3

Medicare UPIND40330GA
Medicare ID-Type Unspecified442621581AGA
Other52144193GA · Bcbs Of Ga

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
93%202 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
78%397 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%402 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%386 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
89%122 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Keller's NPI number?

The NPI number for John Keller is 1962462937. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is John Keller located?

John Keller practices at 108 North Park Dr, Fayetteville, GA 30214. The listed phone number is (770) 461-3466.

What is John Keller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Keller was last updated on March 10, 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.