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

Jelena McKeithan

Individual provider Family Nurse Practitioner · NPI 1245985092

Jelena McKeithan is a Nurse Practitioner in Davidson, North Carolina. Qualified in 2021, 5 years ago. Practices with Southern Family Medicine Inc, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

127 S Main St
Davidson, NC 28036-8096
Phone: (704) 892-7211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5015978 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F01220404 (NC)

Record details

NPI number1245985092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address127 S Main St, Davidson, NC 28036-8096

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern Family Medicine Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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