NPIMap

Individual provider Active NPI

Heywood Kyle Gay, MD

  • Internal Medicine Physician
  • Millen, GA
National Provider Identifier
1205920428
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038768 Issued in GA
Practice address
1121 Hwy 25 N
Millen, GA 30442-6713
Phone
(478) 401-0477
NPI assigned
Oct 3, 2006
Last updated
Mar 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038768 GA Primary

Addresses

Primary practice location

1121 Hwy 25 N
Millen, GA 30442-6713

Mailing address

PO Box 794
Baxley, GA 31515-0794
Phone (478) 401-0477

Other practice location 1

162 Jekyll Road
Baxley, GA 31513
Phone (478) 401-0477

Other identifiers 1

IdentifierTypeStateIssuer
000630957CMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000491 GA Practitioner - Internal Medicine 4688684244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yurhealth LLCGroup PAC ID 6901263151, 7 clinicians

Practice addresses (Care Compare)

1121 Hwy 25 N
Millen, GA 30442-6713
Phone (912) 661-8748

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038768GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins County Hospital, LLC CurrentSince Feb 17, 2011 Accepting new patients
Yurhealth, LLC CurrentSince Jun 1, 2023 Accepting new patients
Yurhealth, LLC CurrentSince Jun 1, 2023 Accepting new patients
Jenkins County Hospital, LLC Internal Medicine CurrentSince Feb 17, 2011 Accepting new patients
Jenkins County Hospital LLC Current Accepting new patients
Millen Home Care Medical, Inc CurrentSince Apr 30, 2003 Accepting new patients
Sedzer Health LLC Current Accepting new patients
Pruitthealth - Bethany, LLC Past Accepting new patients
Hospital Authority of Jenkins County Past Accepting new patients
Screven County Family Health Center, LLC Internal Medicine Past Accepting new patients
The Oaks - Bethany Skilled Nursing, LLC Past Accepting new patients

Locations

162 Jekyll Rd
Baxley, GA 31513
Phone (478) 401-0477

1121 Highway 25 N
Millen, GA 30442
Phone (478) 401-0477

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

960 College Ave
Millen, GA 30442
Phone (478) 982-1500

961 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-0120

Interoperability endpoints

  • Direct secure messaging: heywood.gay@healthiealerts.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBIBDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pruitthealth - BethanyMillen, GA, CCN 115700 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 15, 2006
Oct 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1205920428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315150794",
            "telephone_number": "478-401-0477",
            "fax_number": "888-375-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HWY 25 N",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304426713",
            "telephone_number": "478-401-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Jekyll Road",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "31513",
            "country_code": "US",
            "telephone_number": "478-401-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAY",
        "first_name": "HEYWOOD",
        "middle_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal 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

Verify at the official NPI Registry.