Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David V Keller, PA-C

Individual provider Physician Assistant · NPI 1124192406

David V Keller, PA-C is a Physician Assistant in Statesville, North Carolina. Qualified in 2006, 20 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1424 Fern Creek Dr Ste D
Statesville, NC 28625-9376
Phone: (704) 878-2058
Fax: (704) 872-6576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00703 (NC)

Record details

NPI number1124192406
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Statesville