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

Dr. Scott T Keller, DO

Individual provider Family Medicine Physician · NPI 1609861830

Dr. Scott T Keller, DO is a Family Practice in Lilburn, Georgia. Graduated from West Virginia School of Osteopathic Medicine in 1979, 47 years ago. Practices with Mahon Family Medicine, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
47
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4120 Five Forks Trickum Rd SW Ste 105
Lilburn, GA 30047-3130
Phone: (770) 921-6900
Fax: (770) 921-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 024445 (GA)

Record details

NPI number1609861830
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESOctober 30, 2007
Mailing address4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1979 (47 years in practice)
Group practice Mahon Family Medicine — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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