DR. KEITH MYRON DOCKERY (M.D.) – Otolaryngology Physician, NPI 1659373611

DR. KEITH MYRON DOCKERY (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 33567 (GA). The NPI Number for DR. KEITH MYRON DOCKERY (M.D.) is 1659373611

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH MYRON DOCKERY (M.D.)
NPI
1659373611
Phone
(404) 350-7966
Address
2045 PEACHTREE RD NE
Enumeration Date
2 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4043507966106
Graduation Year
1982 (44 years ago)
PAC ID
0042493132
Professional Enrollment ID
I20110328000462
Address ID
GA303092514AT1800XNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in GA

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Provider Addresses for DR. KEITH MYRON DOCKERY (M.D.)

  • Peachtree Road Northeast, Atlanta, Georgia, 30305, United States

    STE 500

    ATLANTA, GA 303091496

    Phone: (404) 350-7966

    Fax: (404) 350-7968

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $693.

Total Amount is formed as General ($693) + Research ($0) + Ownership ($0) = $693.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($393).

Total Amount

$693

General + Research + Ownership

Payments

11

Total payment records

General Amount

$693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110328000462IOtolaryngologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes205135$0
99214Established patient office or other outpatient visit, 30-39 minutes11379$0
31575Diagnostic exam of voice box using a flexible endoscope11287$0
92567Test to assess middle ear function9190$0
92557Comprehensive hearing and speech recognition test7777$0
View full utilization report →

Insurance plans in this area (ZIP 30309)

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Reviews

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Frequently asked questions

What identifier follows DR. KEITH MYRON DOCKERY (M.D.) across health systems?
The NPI 1659373611 uniquely identifies DR. KEITH MYRON DOCKERY (M.D.) in U.S. healthcare data.
Does the public listing show DR. KEITH MYRON DOCKERY (M.D.) as active?
DR. KEITH MYRON DOCKERY (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KEITH MYRON DOCKERY (M.D.) provide?
DR. KEITH MYRON DOCKERY (M.D.)'s profile centers on Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KEITH MYRON DOCKERY (M.D.) in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for DR. KEITH MYRON DOCKERY (M.D.), then verify phone and hours locally.
Why is information missing for DR. KEITH MYRON DOCKERY (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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