KYLE THOMAS CHURCH PA-C
NPI 1730739459
Physician Assistant in Atlanta, GA

Q: What is Kyle Church's NPI number?

The NPI number for Kyle Church is 1730739459. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Q: What is Kyle Church'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 Church was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 14, 2019PECOS EnrolledAccepts Medicare Assignment

90.8/100

CMS Quality Rating

95 COLLIER RD NW STE 2055, ATLANTA, GA 30309(404) 605-5699 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2020, Sep 14, 2019 (2 updates tracked since 2019).

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About Kyle Thomas Church Pa-c NPPES

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

KYLE THOMAS CHURCH PA-C (NPI 1730739459) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (9363) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1730739459

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKYLE THOMAS CHURCHCredential: PA-C

Location Address95 COLLIER RD NW STE 2055Atlanta, GA 30309-1721

Mailing Address264 Lake Connie RdCarrollton, GA 30116-5245 · (404) 596-1641

Phone(404) 605-5699

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2019

Enumeration DateSeptember 14, 2019

Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2025

✔ NPI 1730739459 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 · 9363

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 ListedFamily MedicineTaxonomy 207Q00000X · License 9363 (GA)

95 COLLIER RD NW STE 2055, Atlanta, GA 30309

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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 and accepts Medicare assignment

Kyle Thomas Church Pa-c 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 ID8820410004

PECOS Enrollment IDI20200616002384

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.

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

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.

90.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 7

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

PAUL SUK HWANGBO PA-C

Physician Assistant