Provider Demographics
NPI:1184655961
Name:KEELS ANDREWS, BARBARA JENETHA (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JENETHA
Last Name:KEELS ANDREWS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JENETHA
Other - Last Name:KEELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3290 MEMORIAL DR STE A1
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-3400
Mailing Address - Country:US
Mailing Address - Phone:404-284-1121
Mailing Address - Fax:404-284-0393
Practice Address - Street 1:3290 MEMORIAL DR STE A1
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-3400
Practice Address - Country:US
Practice Address - Phone:404-284-1121
Practice Address - Fax:404-284-0393
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN087305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA747665721DMedicaid
GA747665721BMedicaid
GA747665721EMedicaid
GA747665721CMedicaid
GA747665721AMedicaid
GA747665721BMedicaid
GA747665721CMedicaid