DR. KYLE D MAXWELL MD
NPI 1750904504
Pediatrics in Dalton, GA
About Dr. Kyle D Maxwell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE D MAXWELL MD (NPI 1750904504) is an individual pediatrics provider in Dalton, Georgia, licensed in Georgia (94846) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kyle D Maxwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Maxwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chattanooga, TN 37403
- Reassigned Medicare billing, Tennessee enrollment
- 679 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Maxwell's NPI number?
The NPI number for Kyle Maxwell is 1750904504. It was assigned to this individual provider in the NPPES registry on May 27, 2020.
Where is Kyle Maxwell located?
Kyle Maxwell practices at 1409 Chattanooga Ave, Dalton, GA 30720. The listed phone number is (706) 278-5373.
What is Kyle Maxwell's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kyle Maxwell enrolled in Medicare?
Yes. Kyle Maxwell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Maxwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Maxwell reassigns Medicare benefits to Erlanger Health (Chattanooga, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Maxwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Maxwell accept?
Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Kyle Maxwell 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 Kyle Maxwell was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kyle D Maxwell, MD · NPI 1750904504
Pediatrics physician in Dalton, Georgia. Individual provider, active in the CMS NPPES registry since May 27, 2020.
## Identity
- **NPI:** 1750904504 (Entity type: Individual)
- **Enumerated:** May 27, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 94846 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1409 CHATTANOOGA AVE, Dalton, GA 30720-2631
- **Phone:** (706) 278-5373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Erlanger Health (NPI 1477256303, Chattanooga, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750904504) · Data from the CMS NPPES public registry.