Individual provider Active NPI

Kyle William Schuller, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1578880373
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
076167 Issued in GA
Practice address
800 Montclair Rd
Buchannan BLDG; Suite 9B
Birmingham, AL 35213-1908
Phone
(205) 599-4822
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 076167 GA Primary

Addresses

Primary practice location

800 Montclair Rd
Buchannan BLDG; Suite 9B
Birmingham, AL 35213-1908

Mailing address

800 Montclair Rd
Buchannan BLDG. Suite 9B
Birmingham, AL 35213-1908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, TN, AR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160815001160 GA Practitioner - Diagnostic Radiology 8022254978 Reassigns benefits to 4 organizations
I20240419001154 VA Practitioner - Diagnostic Radiology 8022254978 Reassigns benefits to 1 organization
I20240425001143 TN Practitioner - Diagnostic Radiology 8022254978 Reassigns benefits to 1 organization
I20250505003051 AR Practitioner - Diagnostic Radiology 8022254978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians
Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800

1326 Eisenhower Dr
Savannah, GA 31406-3928

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 500-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076167GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 11, 2016 Accepting new patients
Denver Metro Imaging, LLC CurrentSince Apr 15, 2026 Accepting new patients
Orthoarkansas, PA CurrentSince Apr 25, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Aug 28, 2019 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Aug 28, 2019 Accepting new patients
Wellmont Health System Current Accepting new patients
Orthoarkansas, PA CurrentSince Apr 25, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
South Georgia ER Services, LLC Past Accepting new patients

Locations (25 of 54)

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

3480 Landers Rd
North Little Rock, AR 72117
Phone (501) 955-5519

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

820 2nd Ave
Eastman, GA 31023
Phone (478) 374-5511

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

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

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

15 Yarbrough St
Hazlehurst, GA 31539
Phone (912) 375-0755

209 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-3095

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kschuller431639@balladhealth.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1578880373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MONTCLAIR RD",
            "address_2": "BUCHANNAN BLDG. SUITE 9B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONTCLAIR RD",
            "address_2": "BUCHANNAN BLDG; SUITE 9B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131908",
            "telephone_number": "205-599-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "076167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.