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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLE STAWITZKY
NPI 1093395972
Physical Medicine & Rehabilitation - Sports Medicine in Lithia Springs, GA

Active since April 13, 2021PECOS Enrolled
62.13/100
CMS Quality Rating
939 BOB ARNOLD BLVD STE A, LITHIA SPRINGS, GA 30122(770) 769-1724 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Oct 2, 2023, Apr 13, 2021 (3 updates tracked since 2021).

About Kyle Stawitzky NPPES

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

KYLE STAWITZKY (NPI 1093395972) is an individual sports medicine provider in Lithia Springs, Georgia, licensed in Georgia (113705) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093395972
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameKYLE STAWITZKY
Location Address939 BOB ARNOLD BLVD STE ALithia Springs, GA 30122-3258
Mailing Address939 Bob Arnold Blvd Ste ALithia Springs, GA 30122-3258 · (770) 769-1724
Phone(770) 769-1724
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateOctober 5, 20263 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1093395972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in GA · 113705
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0102208053 (VA)
939 BOB ARNOLD BLVD STE A, Lithia Springs, GA 30122
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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 Stawitzky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

Other Providers at the Same Location NPPES 5

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

MR. SHEVIN DWIGHT POLLYDORE M.D. FAAPMR
Physical Medicine & Rehabilitation
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122
Douglas County (770) 769-1724
REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
Clinic/Center (Multi-Specialty)
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122
Douglas County (770) 209-9913
SONYA KHURANA
Orthopaedic Surgery (Hand Surgery)
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122
Douglas County (770) 769-1724
PRAVEER SRIVASTAVA MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122
Douglas County (770) 769-1724
MATTHEW IGBINIGIE MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122
Douglas County (770) 769-1724

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 Kyle Stawitzky's NPI number?

The NPI number for Kyle Stawitzky is 1093395972. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Kyle Stawitzky located?

Kyle Stawitzky practices at 939 Bob Arnold Blvd Ste A, Lithia Springs, GA 30122. The listed phone number is (770) 769-1724.

What is Kyle Stawitzky's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Kyle Stawitzky enrolled in Medicare?

Yes. Kyle Stawitzky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Stawitzky was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.