Individual provider Active NPI

Kyle Michael Kidwell, MD

  • Hematology & Oncology Physician
  • Atlanta, GA
National Provider Identifier
1013570829
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
102776 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone
(404) 350-9853
Fax
(404) 350-8407
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 102776 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922

Mailing address

1800 Howell Mill Rd NW Ste 800
Atlanta, GA 30318-0922
Phone (678) 298-3239

Other practice location 1

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone (678) 829-1060

Other practice location 2

775 Poplar Rd Ste 310
Newnan, GA 30265-8303
Phone (770) 251-2590

Other practice location 3

4877 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (678) 399-7190

Other practice location 4

755 Mount Vernon Hwy NE Ste 320
Atlanta, GA 30328-4288
Phone (404) 350-8711

Other practice location 5

11315 Johns Creek Pkwy Ste 220
Johns Creek, GA 30097-2645
Phone (678) 399-7187

Other practice location 6

290 Country Club Dr Ste 100
Stockbridge, GA 30281-9069
Phone (678) 854-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701002027 GA Practitioner - Hematology/Oncology 9739692922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Medical College of Georgia School of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Piedmont Cancer Institute PCGroup PAC ID 9638167844, 43 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd NW
Suite 775
Atlanta, GA 30318-3186
Phone (404) 350-9853

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cancer Institute PC Hematology & Oncology CurrentSince Aug 18, 2025 Accepting new patients
Piedmont Cancer Institute PC Hematology & Oncology CurrentSince Aug 18, 2025 Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 775
Atlanta, GA 30318
Phone (404) 350-9853

105 Collier Rd NW
Ste 3040
Atlanta, GA 30309
Phone (404) 355-7375

1800 Howell Mill Rd NW
Ste 800
Atlanta, GA 30318
Phone (404) 350-9853

1267 Highway 54 W
Ste 4200
Fayetteville, GA 30214
Phone (678) 829-1060

11315 Johns Creek Pkwy
Ste 220
Johns Creek, GA 30097
Phone (678) 399-7187

4877 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (404) 367-2097

775 Poplar Rd
Ste 310
Newnan, GA 30265
Phone (770) 251-2590

755 Mount Vernon Hwy NE
Ste 320
Sandy Springs, GA 30328
Phone (404) 350-8711

290 Country Club Dr
Ste 100
Stockbridge, GA 30281
Phone (678) 854-9500

1240 Eagles Landing Pkwy
Ste 260
Stockbridge, GA 30281
Phone (678) 854-9500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1013570829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "678-298-3239",
            "fax_number": "404-477-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180922",
            "telephone_number": "404-350-9853",
            "fax_number": "404-350-8407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1267 Highway 54 W Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142112",
            "country_code": "US",
            "telephone_number": "678-829-1060",
            "fax_number": "678-829-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658303",
            "country_code": "US",
            "telephone_number": "770-251-2590",
            "fax_number": "770-251-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4877 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483644",
            "country_code": "US",
            "telephone_number": "678-399-7190",
            "fax_number": "678-399-7192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Mount Vernon Hwy NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284288",
            "country_code": "US",
            "telephone_number": "404-350-8711",
            "fax_number": "404-350-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11315 Johns Creek Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972645",
            "country_code": "US",
            "telephone_number": "678-399-7187",
            "fax_number": "678-399-7189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Country Club Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819069",
            "country_code": "US",
            "telephone_number": "678-854-9500",
            "fax_number": "678-854-9502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "KYLE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "102776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.