Active NPI
Kylie R Little, PA-S
- Physician Assistant
- Cartersville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129 - Phone
- (770) 606-2104
- NPI assigned
- Feb 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GA | Primary |
Addresses
Primary practice location
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Mailing address
5665 New Northside Dr NW
Ste 320
Atlanta, GA 30328-5831
Phone (770) 874-5400
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Lavender Inpatient Services LLC | Past | Accepting new patients | |
| Mount Lassen Emergency Physicians LLC | Past | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Roswell, GA
- NPI 1053456954
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba Piedmont Urgent Care
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
dba WellStar Surgical Associates of Marietta
- Surgery Physician
- Marietta, GA
- NPI 1235438367
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Internal Medicine Physician
- Cartersville, GA
- NPI 1902215767
-
- Emergency Medicine Physician
- Cartersville, GA
- NPI 1730598590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1033397591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR NW",
"address_2": "STE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 JOE FRANK HARRIS PKWY SE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202129",
"telephone_number": "770-606-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "KYLIE",
"middle_name": "R",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.