P Praxis·MD
● Active Type 1 · Individual

Jerry Keaton, M.D.

Radiology·Longview, TX· NPI 1699731836 · Enumerated 2006 · 20 years on NPI
Keaton is 1 of 46 radiology providers in Longview and 1 of 3776 in Texas.
NPI age
20 years
Enumerated 2006-04-25
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
TX, OK, KS, FL
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
4 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
700 E Marshall Ave
Longview, TX 756015580
📞 9033152072fax 9032470222
Mailing address
Ss9 Lake Cherokee
Henderson, TX 756528615

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4250 Hospital Dr
Marianna, FL 324461917
📞 8505262200fax 8507182844

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #J2634OK license #14699KS license #04-19229FL license #ME172978 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (TX) 116857701 COUNTY AGENCY
01 (TX) 88R995 BLUE CROSS BLUE SHIELD TX
01 (TX) 117915 CHIP PROGRAM
05 (TX) 88R991
01 (TX) MDJ2634 WORKERS COMP
01 (TX) P00048099 TRAVELER MEDICARE
01 (TX) 012079 TX KINDNEY HEALTH
01 (TX) 116857702 CIDC
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 165 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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