DR. KYLE D MAXWELL MD
NPI 1750904504
Pediatrics in Dalton, GA

Active since May 27, 2020PECOS Enrolled
1409 CHATTANOOGA AVE, DALTON, GA 30720(706) 278-5373 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 24, 2023, Jun 4, 2020, May 27, 2020 (3 updates tracked since 2020).

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

NPI1750904504
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KYLE D MAXWELLCredential: MD
Location Address1409 CHATTANOOGA AVEDalton, GA 30720-2631
Mailing Address7531 Pfizer DrOoltewah, TN 37363-5558 · (423) 704-2221
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1750904504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in GA · 94846
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1409 CHATTANOOGA AVE, Dalton, GA 30720

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Dr. Kyle D Maxwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113326968
PECOS Enrollment IDI20250923003611
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 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.

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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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 4

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

Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Pediatrics
1409 CHATTANOOGA AVE
DALTON, GA 30720
Specialist
1409 CHATTANOOGA AVE
DALTON, GA 30720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750904504, enumerated as an "individual" on May 27, 2020.

The provider is located at 1409 CHATTANOOGA AVE DALTON, GA 30720 and the phone number is (706) 278-5373.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc. and BlueCross. Please consult your insurance carrier or call the provider to verify.