| NPI | 1174652606 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-03-02 |
| Last Updated | 2023-03-07 |
| Mailing Address | Po Box 60447 Charlotte, NC 28260-0447 United States Phone: (704) 384-8680 | Fax: (704) 384-8684 📍 View Map |
| Primary Practice Address | 200 Greenwich Rd Charlotte, NC 28211-2316 United States Phone: (704) 384-8680 | Fax: (704) 384-8684 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NC | 133989 | license |
| MEDICAID | NC | 5912419 | - |
| MEDICAID | SC | N01507 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | NC | 133989 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1174652606
Keith Alan Anderson MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1174652606. The primary specialty listed is Family Medicine. The provider is located in Charlotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174652606?
NPI 1174652606 belongs to Keith Alan Anderson MD, a Family Medicine in Charlotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174652606 active?
The current status of NPI 1174652606 in the NPPES registry is Active. The record was last updated on 2023-03-07.
What specialty is NPI 1174652606?
NPI 1174652606 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174652606?
You can verify NPI 1174652606 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174652606?
The primary practice address on file for NPI 1174652606 is 200 Greenwich Rd, Charlotte, NC 28211-2316. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174652606 issued?
NPI 1174652606 was first issued (enumerated) on 2007-03-02. The NPPES record was last updated on 2023-03-07.
Practice Location Map
Keith Alan Anderson is located at 200 Greenwich Rd, Charlotte, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Keith Alan Anderson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174652606. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 133989 | NC |