Active NPI
James M Kyle, MD
- Emergency Medicine Physician
- Ponte Vedra, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 039614
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00920389A | Medicaid | GA | |
| PENDING | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039614 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Family Medicine | Current | Accepting new patients |
| Beckley Emergency Physicians LLC | Emergency Medicine | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1376757674
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
Family Medicine
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Family Medicine
-
dba JGH Therapy and SportsCare
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1124369780
-
- Emergency Medicine Physician
- Waycross, GA
- NPI 1306058573
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
-
dba New River Health Pulmonary Rehabilitation Center
- Rehabilitation Clinic/Center
- Oak Hill, WV
- NPI 1841619467
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.