NPI Details
DR. Keith Myron Dockery, M.D. is an otolaryngology in Atlanta, GA with 43 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Keith Myron Dockery, M.D. NPI is 1659373611. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1982
The provider's business location address is:
2045 PEACHTREE RD NE
STE 500
ATLANTA, GA
ZIP 30309-496
Phone: (404) 350-7966
Fax: (404) 350-7968
The NPI 1659373611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 11D2303649 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Test to assess middle ear function (HCPCS:92567)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Removal of impacted ear wax (HCPCS:69210)
- Test for hearing various pitches using earphone (HCPCS:92552)
- Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Evaluation and testing for balance with recording (HCPCS:92540)
- Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
The enumeration date for this NPI number is 6/2/2005 and was last updated on 7/8/2007.
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 |
| 1 | 207Y00000X | Otolaryngology | | 33567 | GEORGIA | Yes |
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 |
| 1 | 04BDBFC | MEDICARE ID-TYPE UNSPECIFIED | GEORGIA | |
| 2 | 00443781A | MEDICAID | GEORGIA | |
| 3 | A82261 | MEDICARE UPIN | GEORGIA | |
