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KYLA RENAE BLACKSHEAR PA-C
NPI 1083306161
Physician Assistant in Fort Stewart, GA

Active since May 25, 2023
1601 HARMON AVE., FORT STEWART, GA 31314(912) 435-5924 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, May 25, 2023 (2 updates tracked since 2023).

About Kyla Renae Blackshear Pa-c NPPES

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

KYLA RENAE BLACKSHEAR PA-C (NPI 1083306161) is an individual physician assistant in Fort Stewart, Georgia and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1083306161
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLA RENAE BLACKSHEARCredential: PA-C
Location Address1601 HARMON AVE.Fort Stewart, GA 31314
Mailing Address1061 Harmon AveFort Stewart, GA 31314-5641 · (912) 435-6965
Phone(912) 435-5924
Sole ProprietorNo
Enumeration DateMay 25, 2023
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1083306161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1601 HARMON AVE., Fort Stewart, GA 31314
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyla Blackshear's NPI number?

The NPI number for Kyla Blackshear is 1083306161. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Kyla Blackshear located?

Kyla Blackshear practices at 1601 Harmon Ave., Fort Stewart, GA 31314. The listed phone number is (912) 435-5924.

What is Kyla Blackshear's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kyla Blackshear was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.