| Kylie Humphries, PA-S | |
|
124 Briarvista Way Ne, Atlanta, GA 30329-3614 | |
| (954) 415-7722 | |
| Not Available |
| Full Name | Kylie Humphries |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 124 Briarvista Way Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881311561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12134 (Georgia) | Primary |
| Entity Name | Coweta Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634 |
| Entity Name | Georgia Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
| Entity Name | Sandy Creek Emergency Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427817881 PECOS PAC ID: 3577905520 Enrollment ID: O20240522003762 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylie Humphries, PA-S 124 Briarvista Way Ne, Atlanta, GA 30329-3614 Ph: (954) 415-7722 | Kylie Humphries, PA-S 124 Briarvista Way Ne, Atlanta, GA 30329-3614 Ph: (954) 415-7722 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 |
Ruth Flaherty, CCC-SLP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 |
Kristen Swain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 |
Nechama Dina Ezagui, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 |