Provider Demographics
NPI:1154895423
Name:MCKEEVER, JOHN WAINWRIGHT (PA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WAINWRIGHT
Last Name:MCKEEVER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:1983 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2122
Practice Address - Country:US
Practice Address - Phone:828-651-0450
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2019-01-19
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-09858363A00000X, 207QA0505X, 363A00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNNC872AOtherMEDICARE