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

Keaton Peak

Individual provider Registered Nurse · NPI 1467017335

Keaton Peak is a Nurse Practitioner in Dothan, Alabama. Graduated from University of South Alabama College of Medicine in 2018, 8 years ago. Practices with Houston County Healthcare Authority, a 258-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
8
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1108 Ross Clark Cir
Dothan, AL 36301
Phone: (334) 793-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1108 Ross Clark Cir, Dothan, AL 36301 — (334) 793-8111

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-147512 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-147512 (AL)

Record details

NPI number1467017335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESSeptember 11, 2019
Mailing address1419 Peak Rd, Westville, FL 32464-3072

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Houston County Healthcare Authority — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dothan