Kyle Steven Deuter, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007290 Issued in GA

Practice address

110 Professional CT
Jesup, GA 31545-0044

Phone

(912) 427-0800

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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.

• Bone and Joint Institute of South Georgia, P.C.

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1528104510

  GA

  Medicare reassignment Care Compare group
• West Rehab Services, Inc.

  • Rehabilitation Clinic/Center
  • Tybee Island, GA
  • NPI 1588667430
  NPD (past)

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

• Hospital Authority of Liberty County

  • Critical Access Hospital
  • Hinesville, GA
  • NPI 1326079260

  Hospital

  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999

  Hospital

  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bone and Joint Institute of South Georgia, P.C. 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Liberty Regional Medical Center Hospital, Hinesville, GA, CCN 111335

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2017.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1467475657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315981334",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PROFESSIONAL CT",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450044",
            "telephone_number": "912-427-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTER",
        "first_name": "KYLE",
        "middle_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00080100",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "007290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly M. Davis
• Ryan Clifford Davis
• Kristina Delegal
• Stacy Delo
• Gavin Heath Denmark, PA-C
• Diabetes Center of Jesup LLC
• Michael Jeffrey Wildenberg Diamant, M.D.
• Robert Stuart Diamant, M.D.
• Diversity Health Center Inc.
• Diversity Health Center Inc.

• All providers in Jesup, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.

Verify at the official NPI Registry.