RENA L KEEBY (NPI# 1699841304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699841304 |
| Entity Type | Individual |
| Full Name | RENA L KEEBY |
| Credential | PAC |
| Practice Address |
2470 Mount Zion Parkway Department of Dermatology Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road Ne Nine Piedmont Center Atlanta GA 30305-9775 |
| Practice Telephone | 7706033649 |
| Mailing Telephone | 4043647000 |
| Mailing Fax Number | 4043644732 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | 002657 | GA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 002657 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2470 MOUNT ZION PARKWAY DEPARTMENT OF DERMATOLOGY |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280627 | Kenny M Frontin | Internal Medicine | 2470 Mount Zion Parkway, Department of Gastroenterology, Jonesboro, GA 30236 | 2005-07-21 |
| 1992905020 | Victoria Anne Hamilton | Audiologist | 2470 Mount Zion Parkway, Department of Audiology, Jonesboro, GA 30236 | 2007-07-18 |
| 1326114125 | Rodney L Harris | Internal Medicine | 2470 Mount Zion Parkway, Department of Gastroenterolgy, Jonesboro, GA 30236 | 2006-11-27 |
| 1790851673 | Kenya H Anders | Dermatology | 2470 Mount Zion Parkway, Department of Dermatology, Jonesboro, GA 30236 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710229141 | Mallory Hurst | Dermatology | 800 S Church St Ste 202, Jonesboro, AR 72401 | 2013-03-24 |
| 1922114974 | Sareeta S. Parker | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2006-08-22 |
| 1790751444 | David Howard Weingold | Dermatology | 4334 E Highland Dr, Jonesboro, AR 72401-6621 | 2006-02-23 |
| 1306366885 | Doctors Health Group, Inc. | Dermatology | 800 S Church St Ste 203, Jonesboro, AR 72401-4106 | 2017-06-26 |
| 1770932550 | Sills Dermatology, Pllc | Dermatology | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2016-06-12 |
| 1023262185 | Livia Van | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2008-11-14 |
| 1891954459 | Dionne Denise Louis | Dermatology | 2470 Mt. Zion Parkway, Kaiser Permanente Southwood Specialty Center, Jonesboro, GA 30236 | 2008-06-08 |
| 1871651182 | Florence M Humphrey | Dermatology | Department of Dermatology, 2470 Mount Zion Parkway, Jonesboro, GA 30236 | 2006-12-05 |
| 1790851673 | Kenya H Anders | Dermatology | 2470 Mount Zion Parkway, Department of Dermatology, Jonesboro, GA 30236 | 2006-11-24 |
| 1952326951 | Adam Ashley Sills | Dermatology | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2006-07-12 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.