NICOLE ALICIA LYTLE PA
NPI 1174654651
Physician Assistant in Athens, GA

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
1199 PRINCE AVE, ATHENS, GA 30606(478) 464-8134 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Alicia Lytle Pa NPPES

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

NICOLE ALICIA LYTLE PA (NPI 1174654651) is an individual physician assistant in Athens, Georgia, licensed in Georgia (3771) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warner Robins, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1174654651
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ALICIA LYTLECredential: PA
Location Address1199 PRINCE AVEAthens, GA 30606-2797
Mailing Address503 Saint Marlo DrCenterville, GA 31028-8005 · (478) 953-1345
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 8, 2007
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
NPI 1174654651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 3771
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.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 3771 (GA)
1199 PRINCE AVE, Athens, GA 30606

Other Names 1

Other Name (5)Nicole Alicia Toraya Pa

Secondary Practice Location 1

Location 1116 S Houston RdWarner Robins, GA 31088-3904 · Phone (478) 923-0131

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Alicia Lytle Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446239255
PECOS Enrollment IDI20040715000915, I20230228001256
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services15 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 20

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

Neurological Surgery
1199 PRINCE AVE
ATHENS, GA 30606
Hospitalist
1199 PRINCE AVE
ATHENS, GA 30606
Nurse Anesthetist, Certified Registered
1199 PRINCE AVE
ATHENS, GA 30606
Physician Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiology
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiologist Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Specialist/Technologist, Other (Surgical Assistant)
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine (Cardiovascular Disease)
1199 PRINCE AVE
ATHENS, GA 30606

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 Nicole Lytle's NPI number?

The NPI number for Nicole Lytle is 1174654651. It was assigned to this individual provider in the NPPES registry on March 8, 2007. The provider is also known as Nicole Alicia Toraya PA.

Where is Nicole Lytle located?

Nicole Lytle practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (478) 464-8134.

What is Nicole Lytle's specialty?

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

Is Nicole Lytle enrolled in Medicare?

Yes. Nicole Lytle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Lytle accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Nicole Lytle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Lytle was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.