Active NPI
H. Kyle Gay MD PC
- Family Medicine Physician
- Millen, GA
National Provider Identifier
1104017086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 038768
- Legal business name
- H. KYLE GAY MD PC
- Practice address
- 532 College Ave
Millen, GA 30442-1602 - Phone
- (912) 489-4123
- Fax
- (912) 764-4977
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heywood Kyle Gay, MD
- Title
- Owner
- Phone
- (912) 489-4123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 038768 | GA | Primary |
Addresses
Primary practice location
532 College Ave
Millen, GA 30442-1602
Mailing address
532 College Ave
Millen, GA 30442-1602
Phone (912) 489-4123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000630957C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
960 College Ave
Millen, GA 30442
Phone (478) 982-1500
247 S Main St
Statesboro, GA 30458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1104017086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 COLLEGE AVE",
"city": "MILLEN",
"state": "GA",
"postal_code": "304421602",
"telephone_number": "912-489-4123",
"fax_number": "912-764-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 COLLEGE AVE",
"city": "MILLEN",
"state": "GA",
"postal_code": "304421602",
"telephone_number": "912-489-4123",
"fax_number": "912-764-4977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. KYLE GAY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "HEYWOOD",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-489-4123",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "038768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000630957C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.