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

Dr. Keith Gregory Chisholm, MD

Individual provider Surgery Physician · NPI 1164520375

Dr. Keith Gregory Chisholm, MD is a General Surgery in Trinity, Florida. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10751 Maple Creek Dr Ste 103
Trinity, FL 34655-4418
Phone: (727) 372-0400
Fax: (727) 372-0403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME83998 (FL)

Record details

NPI number1164520375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMay 28, 2013
Mailing address3152 Little Rd, Suite 311, Trinity, FL 34655-1864

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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