Organization Active NPI

H. Kyle Gay MD PC

  • Family Medicine Physician
  • Millen, GA
National Provider Identifier
1104017086
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
038768 Issued in GA
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

Updated by the provider on Mar 30, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000630957CMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.