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

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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