NPI age
19 years
Enumerated 2007-03-13
● Active Type 2 · Organization
John A Keller, Md, Pc
John A Keller, Md, Pc is 1 of 108 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Keller
President
Last NPPES update
2016-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 108 active family medicine providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
108 N Park Dr
Fayetteville, GA 302141645
Mailing address
108 N Park Dr
Fayetteville, GA 302141645
Authorized official
John Keller, M.D.
President
📞 7704613466
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Karen McDonald, MSN, FNP-C Nurse Practitioner NPI 1427593045
- Jacqueline Ross, CRNP Nurse Practitioner NPI 1578118048
Specialties
-
Family Medicine PrimaryThe NUCC recommends this code not be used. Choose a more appropriate code.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FAYETTEVILLE FAMILY PRACTICE
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.