Active NPI
Kyle Carter Bachmeier, PA-C
- Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004695
- Practice address
- 61 Whitcher St NE Ste 1100
Marietta, GA 30060-1177 - Phone
- (770) 422-3290
- Fax
- (770) 422-0287
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004695 | GA | |
| Surgical Physician Assistant | 363AS0400X | 004695 | GA | |
| Physician Assistant | 363A00000X | 004695 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE Ste 1100
Marietta, GA 30060-1177
Mailing address
61 Whitcher St NE Ste 1100
Marietta, GA 30060-1177
Phone (770) 422-3290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I978117 | Other | GA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
1150 Hammond Dr
Suite 400
Atlanta, GA 30328-8617
Phone (770) 292-6500
3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (770) 667-4343
Hospital & facility affiliations
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004695 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Current | Accepting new patients | |
| Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Current | Accepting new patients | |
| Southern Surgical Assistants LLC | Past | Accepting new patients | |
| Northside Surgical Professional Services LLC | Past | Accepting new patients |
Locations
100 Greystone Power Blvd
Dallas, GA 30157
Phone (678) 453-5717
300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717
3747 Roswell Rd
Ste 319
Marietta, GA 30062
Phone (770) 579-8558
300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1477929206
-
- Specialist
- Marietta, GA
- NPI 1194815175
-
- Orthopaedic Surgery Physician
- Hiram, GA
- NPI 1003214933
-
- Specialist
- Marietta, GA
- NPI 1003367707
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
- Nurse Practitioner
- Cumming, GA
- NPI 1417224650
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1447464615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 1100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601177",
"telephone_number": "770-422-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 1100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601177",
"telephone_number": "770-422-3290",
"fax_number": "770-422-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMEIER",
"first_name": "KYLE",
"middle_name": "CARTER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "004695",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "004695",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I978117",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.