James M Kyle, MD | |
1110 A1a N, #101, Ponte Vedra, FL 32082-4070 | |
(904) 280-8657 | |
(904) 280-8659 |
Full Name | James M Kyle |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1110 A1a N, Ponte Vedra, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306813704 | NPI | - | NPPES |
PENDING | Other | FL | MEDICARE |
00920389A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME83612 (Florida) | Secondary |
207P00000X | Emergency Medicine | 039614 (Georgia) | Primary |
Entity Name | Privia Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
James M Kyle, MD 1909 Old Powell Rd, Lewisburg, WV 24901-1823 Ph: () - | James M Kyle, MD 1110 A1a N, #101, Ponte Vedra, FL 32082-4070 Ph: (904) 280-8657 |
Dr. James Matthew Jones, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 145 Royal Lake Dr, Ponte Vedra, FL 32081 Phone: 615-785-3952 | |
Dr. Alexei Mikhailovich Prytkov, M.D, PHD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10870 Us One N Unit 104, Ponte Vedra, FL 32081 Phone: 904-438-2720 Fax: 904-212-1711 |