KAYA ARCHIBALD MD
NPI 1831487644
Family Medicine in Macon, GA

Q: What is Kaya Archibald's NPI number?

The NPI number for Kaya Archibald is 1831487644. It was assigned to this individual provider in the NPPES registry on July 13, 2011. The provider is also known as Kaya Jackson MD.

Q: What is Kaya Archibald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaya Archibald was last updated on October 20, 2023. 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 July 13, 2011PECOS EnrolledAccepts Medicare Assignment

3780 EISENHOWER PKWY, MACON, GA 31206(478) 633-5550(478) 633-7287 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2023, Jul 25, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Kaya Archibald Md NPPES

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

KAYA ARCHIBALD MD (NPI 1831487644) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (079129) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Meharry Medical College School Of Medicine (2011).

NPPES Registry Identity

NPI1831487644

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKAYA ARCHIBALDCredential: MD

Location Address3780 EISENHOWER PKWYMacon, GA 31206-0800

Mailing Address3780 Eisenhower PkwyMacon, GA 31206-0800 · (478) 633-5550 · Fax (478) 633-7287

Phone(478) 633-5550

Fax(478) 633-7287

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2011

Enumeration DateJuly 13, 2011

Last NPPES UpdateOctober 20, 20235 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1831487644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 079129

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 79129 (GA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3780 EISENHOWER PKWY, Macon, GA 31206

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Other Names 1

Former Name (1)Kaya Jackson Md

Secondary Practice Locations 3

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (310) 222-2700

Location 2800 E Carpenter StSpringfield, IL 62702-5324 · Phone (217) 544-6464

Location 31275 Tallassee RdAthens, GA 30606-1357 · Phone (706) 340-4126

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Kaya Archibald Md 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 ID1456591072

PECOS Enrollment IDI20210825001424

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 31206 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, drainable, with faceplate attached, plastic, each A4375

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$16.33 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

1 supplier12 claims384 services$2.50 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier12 claims48 services$5.53 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims720 services$0.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. SHUICHI NAKAI MD

Family Medicine