KEITH M DOCKERY MD PC NPI 1003000308

NPI Information

  • NPI: 1003000308
  • Provider Name: KEITH M DOCKERY, MD PC
  • Classification: Audiologist - 231H00000X
  • Entity Type: Organization
  • Doing Business As: BUCKHEAD EAR, NOSE AND THROAT
  • CLIA Number: 11D2271893
  • Address: 1800 PEACHTREE ST NW
    SUITE 700
    ATLANTA, GA
    ZIP 30309
  • Phone: (404) 350-7966
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NPI Details

KEITH M DOCKERY, MD PC is an audiologist in Atlanta, GA. The provider is (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. KEITH M DOCKERY, MD PC NPI is 1003000308. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Buckhead Ear, Nose And Throat.

The provider's business location address is:

1800 PEACHTREE ST NW
SUITE 700
ATLANTA, GA
ZIP 30309-519
Phone: (404) 350-7966
Fax: (404) 350-7968

The provider's authorized official is Melissa Parks Dill .
The authorized official title is Practice Manager and has the following contact phone number (404) 350-7966.

The CLIA number assigned to this NPI record is 11D2271893 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 3/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologistAUD003711GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1443781AMEDICAIDGEORGIA
204BDBFCMEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/30/2024

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