KYLE ALLAN KENOBBIE PA-C
NPI 1316642234
Physician Assistant in Fayetteville, GA

Q: What is Kyle Kenobbie's NPI number?

The NPI number for Kyle Kenobbie is 1316642234. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Kyle Kenobbie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Kenobbie was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 31, 2023PECOS Enrolled

1267 HIGHWAY 54 W STE 4200, FAYETTEVILLE, GA 30214(678) 829-1060(678) 829-1099 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2024, Aug 24, 2023, Mar 31, 2023 (3 updates tracked since 2023).

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About Kyle Allan Kenobbie Pa-c NPPES

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

KYLE ALLAN KENOBBIE PA-C (NPI 1316642234) is an individual physician assistant in Fayetteville, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316642234

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKYLE ALLAN KENOBBIECredential: PA-C

Location Address1267 HIGHWAY 54 W STE 4200Fayetteville, GA 30214-2112

Mailing Address1267 Highway 54 W Ste 4200Fayetteville, GA 30214-2112 · (678) 829-1060 · Fax (678) 829-1099

Phone(678) 829-1060

Fax(678) 829-1099

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 31, 2023

Last NPPES UpdateApril 1, 20243 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1316642234 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.

1267 HIGHWAY 54 W STE 4200, Fayetteville, GA 30214

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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 Allan Kenobbie Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709246630

PECOS Enrollment IDI20230724002113

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.

579 services248 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

491 services232 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.

77 services54 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110082

Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 11

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

VIPIN RAMPRASAD LOHIYA M.D.

Internal Medicine (Hematology & Oncology)