Healthcare Provider Details

I. General information

NPI: 1891929006
Provider Name (Legal Business Name): JAMES BRENDAN O'KEEFE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LAKE HEARN DR STE 300
SANDY SPRINGS GA
30342-1524
US

IV. Provider business mailing address

1100 LAKE HEARN DR STE 300
SANDY SPRINGS GA
30342-1524
US

V. Phone/Fax

Practice location:
  • Phone: 404-777-4867
  • Fax:
Mailing address:
  • Phone: 404-777-4867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number073563
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: