Kyle Thomas Church, PA-C is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. He went to Mercer University School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Piedmont Cardiology Of Atlanta, Llc, Wellstreet Of Georgia Pc and his current practice location is
95 Collier Rd Nw Ste 2055, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 605-5699.
Kyle Thomas Church is licensed to practice in Georgia (license number 9363) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730739459.
Physician's Profile
| Full Name | Kyle Thomas Church |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 95 Collier Rd Nw Ste 2055, Atlanta, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kyle Thomas Church attended and graduated from Mercer University School Of Medicine in 2019
NPI Data:
- NPI Number: 1730739459
- Provider Enumeration Date: 09/14/2019
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820410004
- Enrollment ID: I20200616002384
Medical Identifiers
Medical identifiers for Kyle Thomas Church such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730739459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 9363 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 9363 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Cardiology Of Atlanta, Llc | 0345321691 | 412 |
| Wellstreet Of Georgia Pc | 7517126279 | 440 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Thomas Church is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Thomas Church, PA-C
264 Lake Connie Rd,
Carrollton, GA 30116-5245
Ph: (404) 596-1641 | Kyle Thomas Church, PA-C
95 Collier Rd Nw Ste 2055,
Atlanta, GA 30309-1721
Ph: (404) 605-5699 |
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