Individual provider Active NPI

James M Kyle, MD

  • Emergency Medicine Physician
  • Ponte Vedra, FL
National Provider Identifier
1306813704
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
039614 Issued in GA
Practice address
1110 A1A N
#101
Ponte Vedra, FL 32082-4070
Phone
(904) 280-8657
Fax
(904) 280-8659
NPI assigned
Mar 3, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 039614 GA Primary
Family Medicine Physician 207Q00000X ME83612 FL

Addresses

Primary practice location

1110 A1A N
#101
Ponte Vedra, FL 32082-4070

Mailing address

1909 Old Powell Rd
Lewisburg, WV 24901-1823

Other practice location 1

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Other identifiers 2

IdentifierTypeStateIssuer
00920389AMedicaidGA
PENDINGOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070703000182 GA Practitioner - Emergency Medicine 5799785796 Reassigns benefits to 1 organization
I20090819000504 WV Practitioner - Emergency MedicinePractitioner - Sports Medicine 5799785796 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039614GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 12, 2020 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 12, 2020 Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine CurrentSince Jun 13, 2009 Accepting new patients
Community Health Association Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jameskyle@arh.medalliesdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1306813704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 OLD POWELL RD",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 A1A N",
            "address_2": "#101",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320824070",
            "telephone_number": "904-280-8657",
            "fax_number": "904-280-8659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "497 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Hill",
            "state": "WV",
            "postal_code": "259016216",
            "country_code": "US",
            "telephone_number": "304-469-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "039614",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920389A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

Verify at the official NPI Registry.