Active NPI 1306884374 Individual Practitioner Female Practitioner

Dr. Coretta D. Keith , DNP, FNP-BC

Nurse Practitioner • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Coretta Keith, DNP, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Tifton, GA. Practice services are available at 901 18TH ST E under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 18th St E

Tifton, GA 317943648

Telephone 2293827120

Associated Practice Facility / Clinic

🏢 Tifton Radiology Pc Facility NPI 1780677922

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tifton, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.3 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Tifton, GA (3149 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	57	54	$826.95	$98.85
99285 Emergency department visit for life threatening or functioning severity	52	50	$1474.31	$141.25
99291 Critical care, first 30-74 minutes	24	24	$1799.00	$172.61
99283 Emergency department visit with low level of medical decision making	11	11	$404.73	$58.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	35	35	$714.46	$99.76
99291 Critical care, first 30-74 minutes	18	18	$1336.00	$174.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	38	37	$688.28	$100.89
99285 Emergency department visit for life threatening or functioning severity	32	32	$1012.04	$143.93
99291 Critical care, first 30-74 minutes	21	21	$1301.03	$177.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	56	56	$1012.04	$149.69
99284 Emergency department visit with moderate level of medical decision making	21	21	$688.28	$102.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	23	23	$1012.04	$149.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	52	$143.89	$87.63
99213 Established patient office or other outpatient visit, typically 15 minutes	49	49	$94.18	$59.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	23	$40.00	$16.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	85	$120.00	$85.79
99213 Established patient office or other outpatient visit, typically 15 minutes	67	65	$85.00	$58.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	32	$39.69	$19.38
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	21	21	$12.00	$5.52
99284 Emergency department visit with moderate level of medical decision making	17	17	$469.76	$97.98
81002 Urinalysis, manual test	13	13	$20.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2021-05-04

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN124581

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ AP4450

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000927198E (GA)

Commercial Insurance / Payer ID Railroad Medicare

P00266428 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Javeria Naseer , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1003755984

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

David Atkins , APRN-BC

Nurse Practitioner - Family

NPI 1013926229

APRNBC

Dr. Matthew Pantsari , MD

Internal Medicine - Gastroenterology

NPI 1023084449

Doctor of Medicine (M.D.)

Donna Galliano , NP-C

Nurse Practitioner - Adult Health

NPI 1043552334

Nurse Practitioner (Certified)

Patricia Parrish , NP

Nurse Practitioner

NPI 1053310433

Nurse Practitioner

Hali Mallard , NP

Nurse Practitioner - Family

NPI 1053990788

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 04, 2021

Registered at 901 18TH ST E, TIFTON, GA 317943648 (Tel: 2293827120)

📍

Updated Business Mailing Address May 04, 2021

Registered at 116 BEOWULF LN, LEESBURG, GA 317635831 (Tel: 4047106646)

✅

NPI Profile Active October 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2016

Registered at 300 EL CAMINO REAL, SIERRA VISTA, AZ 856352812 (Tel: 5204173835)

📍

Updated Business Mailing Address October 13, 2016

Registered at 1029 PASO ROBLES AVE, SIERRA VISTA, AZ 856358345 (Tel: 2298860122)

👤

Provider Name / Credentials Updated October 13, 2016

Recorded as CORETTA KEITH, DNP, FNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2016

Nurse Practitioner (License #RN124581 in GA)

🟢

Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306884374

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 03, 2006

Last Update: May 04, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

116 Beowulf Ln

Leesburg, GA 317635831

Phone: 4047106646

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.