KYLE MICHAEL KIDWELL MD - NPI 1013570829 - Internal Medicine in Atlanta, GA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

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About Kyle Michael Kidwell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE MICHAEL KIDWELL MD (NPI 1013570829) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (102776) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1013570829

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameKYLE MICHAEL KIDWELLCredential: MD

Location Address1800 HOWELL MILL RD NW STE 800Atlanta, GA 30318-0922

Mailing Address1800 Howell Mill Rd Nw Ste 800Atlanta, GA 30318-0922 · (678) 298-3239 · Fax (404) 477-1162

Phone(404) 350-9853

Fax(404) 350-8407

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1013570829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in GA · 102776

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1800 HOWELL MILL RD NW STE 800, Atlanta, GA 30318

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Secondary Practice Locations 6

Location 1775 Poplar Rd Ste 310Newnan, GA 30265-8303 · Phone (770) 251-2590 · Fax (770) 251-1490

Location 21267 Highway 54 W Ste 4200Fayetteville, GA 30214-2112 · Phone (678) 829-1060 · Fax (678) 829-1099

Location 3290 Country Club Dr Ste 100Stockbridge, GA 30281-9069 · Phone (678) 854-9500 · Fax (678) 854-9502

Location 44877 Bill Gardner PkwyLocust Grove, GA 30248-3644 · Phone (678) 399-7190 · Fax (678) 399-7192

Location 5755 Mount Vernon Hwy NE Ste 320Atlanta, GA 30328-4288 · Phone (404) 350-8711 · Fax (404) 350-7550

Location 611315 Johns Creek Pkwy Ste 220Johns Creek, GA 30097-2645 · Phone (678) 399-7187 · Fax (678) 399-7189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Michael Kidwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739692922

PECOS Enrollment IDI20250701002027

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNALEE EDWARDS ROBINSON RN MSN ACNP-BC

Nurse Practitioner (Acute Care)