ARCHIE THOMAS KIRKLEY PA-C
NPI 1427436393
Physician Assistant in Vidalia, GA

Q: What is Archie Kirkley's NPI number?

The NPI number for Archie Kirkley is 1427436393. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Archie Kirkley'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 Archie Kirkley was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 12, 2015PECOS Enrolled

125 CHURCH ST, VIDALIA, GA 30474(912) 538-8484(912) 538-8665 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, Oct 17, 2019, Jan 31, 2019 (3 updates tracked since 2019).

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About Archie Thomas Kirkley Pa-c NPPES

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

ARCHIE THOMAS KIRKLEY PA-C (NPI 1427436393) is an individual physician assistant in Vidalia, Georgia, licensed in Georgia (7567) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427436393

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameARCHIE THOMAS KIRKLEYCredential: PA-C

Location Address125 CHURCH STVidalia, GA 30474-4770

Mailing Address125 Church StVidalia, GA 30474-4770 · (912) 538-8484 · Fax (912) 538-8665

Phone(912) 538-8484

Fax(912) 538-8665

Sole ProprietorNo

Enumeration DateMay 12, 2015

Last NPPES UpdateApril 9, 20213 updates tracked since enumeration

NPPES CertifiedApril 9, 2021

✔ NPI 1427436393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 7567

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.

125 CHURCH ST, Vidalia, GA 30474

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Secondary Practice Locations 2

Location 1414 Lugenia DrVidalia, GA 30474-7210 · Phone (912) 537-9355

Location 21811 Manning DrVidalia, GA 30474-8921 · Phone (125) 350-8029 · Fax (912) 538-8665

Other Identifiers 1

Other007567GA · Georgia Composite Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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)

Archie Thomas Kirkley Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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 8

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

DR. ERIN BREEANN LINDHOLM MD

Pediatrics