Kyle Nicholas Castleberry, PA-C - Medicare Physician Assistant in Jesup, GA

  1. Home
  2. Physician Assistant
  3. GA
  4. Jesup
Kyle Nicholas Castleberry, PA-C is a medicare enrolled "Physician Assistant" in Jesup, Georgia. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Georgia Emergency Department Services, P.c. and his current practice location is 865 S 1st St, Jesup, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 427-6811.

Kyle Nicholas Castleberry is licensed to practice in Georgia (license number 12292) 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 1417705450.

Contact Information

Kyle Nicholas Castleberry, PA-C
865 S 1st St,
Jesup, GA 31545-0210
(912) 427-6811
Not Available

Map and Direction




Provider's Profile

Full NameKyle Nicholas Castleberry
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location865 S 1st St, Jesup, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kyle Nicholas Castleberry graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1417705450
  • Provider Enumeration Date: 05/06/2024
  • Last Update Date: 05/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486191178
  • Enrollment ID: I20240730003853

Medical Identifiers

Medical identifiers for Kyle Nicholas Castleberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417705450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 12292 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Emergency Department Services, P.c.559775103276

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Nicholas Castleberry allows following entities to bill medicare on his behalf.
Entity NameGeorgia Emergency Department Services, P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508886912
PECOS PAC ID: 5597751032
Enrollment ID: O20040517001016
Entity NameWayne Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982828943
PECOS PAC ID: 6103926241
Enrollment ID: O20070703000148
Entity NameSouthland Emergency Medical Services Consolidated, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033464391
PECOS PAC ID: 4183871320
Enrollment ID: O20120823000503
Entity NameSouthland Consolidated Emergency Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289
Entity NameSouthland Optim Jenkins Emergency Medical Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265826242
PECOS PAC ID: 9537461538
Enrollment ID: O20160107002680
Entity NameWills Memorial Emergency Medical Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275066326
PECOS PAC ID: 9335419563
Enrollment ID: O20170720003399

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 Nicholas Castleberry 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 AddressPractice Location Address
Kyle Nicholas Castleberry, PA-C
1350 Zephyr Ct,
Cumming, GA 30041-8094

Ph: (770) 342-9609		Kyle Nicholas Castleberry, PA-C
865 S 1st St,
Jesup, GA 31545-0210

Ph: (912) 427-6811

Reviews and Comments


Physician Assistant Nurses in Jesup, GA

Mr. Thomas Lee Ryan, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colonial Way, Jesup, GA 31545
Phone: 912-588-9110    
Jordan Wasdin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 114 W Cherry St, Jesup, GA 31545
Phone: 912-588-1020    Fax: 912-588-1002
Mr. Bolaji Aremu, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Fci, 2600 Hwy 301 South, Jesup, GA 31599
Phone: 912-427-0870    Fax: 912-427-1250
Kelly Ashton Farrell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 861 S 1st St, Jesup, GA 31545
Phone: 912-810-8801    
Heather F Tyre, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 980 South 1st Street, Jesup, GA 31545
Phone: 912-427-4267    Fax: 912-559-2638
Mrs. Hannah Carters Roberts, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 865 S 1st St, Jesup, GA 31545
Phone: 912-427-6811    Fax: 912-530-3180
Jonathan Paul Kiff, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 999 S Macon St, Jesup, GA 31545
Phone: 912-385-2732    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.