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

Jerry Keaton, MD

Individual provider Diagnostic Radiology Physician · NPI 1699731836

Jerry Keaton, MD is a Diagnostic Radiology in Longview, Texas. Graduated from University of Oklahoma College of Medicine in 1980, 46 years ago. Practices with ER Physician Group at Jackson Hospital, a 148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Kansas, Oklahoma and Texas.

Years since qualifying
46
Trained at
University of Oklahoma College of Medicine
Licensed in
FL, KS, OK, TX
In the registry since
2006
Specialties on file
4
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

700 E Marshall Ave
Longview, TX 75601-5580
Phone: (903) 315-2072
Fax: (903) 247-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4250 Hospital Dr, Marianna, FL 32446-1917 — (850) 526-2200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence J2634 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 14699 (OK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-19229 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME172978 (FL)

Record details

NPI number1699731836
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2006
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing addressSs9 Lake Cherokee, Henderson, TX 75652-8615

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Er Physician Group At Jackson Hospital — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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