Kyle Dustin Kaufman (NPI# 1366937930, PAC ID# 6709136617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366937930 |
| PAC ID by PECOS | 6709136617 |
| Professional Enrollment ID | I20180913001137 |
| Full Name | Kyle Dustin Kaufman |
| Organization Legal Name | TLC OF GEORGIA LLC |
| Address |
744 Ga Hwy 96 Bonaire GA 31005-3300 |
| Phone Number | 4789885711 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496924490 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110135 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 744 Ga Hwy 96, Bonaire, GA 31005-3300 | 4789885711 | TLC OF GEORGIA LLC |
| 3708 Northside Dr, Macon, GA 31210-2404 | 4787454206303 | MACON ORTHOPEDIC AND HAND CENTER PA |
| 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 4787882046 | TLC OF GEORGIA LLC |
| 301 Margie Dr, Warner Robins, GA 31088-7818 | 4787454206303 | MACON ORTHOPEDIC AND HAND CENTER PA |
| Organization Legal Name | TLC OF GEORGIA LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Willis Pitts | Nurse Practitioner | Tlc of Georgia LLC | 1931 Jesse Jewell Pkwy Se, Gainesville, GA 30501-2519 |
| Corshonta Shaleik Wooden | Nurse Practitioner | Tlc of Georgia LLC | 1355 S Park St, Carrollton, GA 30117-4433 |
| Sharde' Elixia Parkman | Nurse Practitioner | Tlc of Georgia LLC | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 |
| Mollie Renee Brusca | Nurse Practitioner | Tlc of Georgia LLC | 10945 State Bridge Rd, Alpharetta, GA 30022-8164 |
| Amanda Raenelle Watt | Nurse Practitioner | Tlc of Georgia LLC | 744 Ga Hwy 96, Bonaire, GA 31005-3300 |
| Woinshet K Tesfaye | Nurse Practitioner | Tlc of Georgia LLC | 455 Nathan Dean Blvd, Dallas, GA 30132-4921 |
| Michelle Demaro | Nurse Practitioner | Tlc of Georgia LLC | 3094 Watson Blvd, Warner Robins, GA 31093-8500 |
| Casey Jones Elliott | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Petra Nozile | Nurse Practitioner | Tlc of Georgia LLC | 564 Crosstown Dr, Peachtree City, GA 30269-2916 |
| Pamela L Allen | Nurse Practitioner | Tlc of Georgia LLC | 125 W Main St, Cartersville, GA 30120-3507 |
| Street Address |
744 GA HWY 96 |
| City | BONAIRE |
| State | GA |
| Zip | 31005-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Raenelle Watt | Nurse Practitioner | Tlc of Georgia LLC | 744 Ga Hwy 96, Bonaire, GA 31005-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher L Jackson | Chiropractic | 100 Stillwater Cir C, Bonaire, GA 31005-3856 | |
| Michael Kevin Mccrary | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Lana Alden Dellinger | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Keith T Brown | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Jason L Swain | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Samuel E Palmer | Family Medicine | Samuel E. Palmer, Md, PC | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Melanie D Shorter | Family Medicine | Samuel E. Palmer, Md, PC | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Ashley G Loseke | Physician Assistant | Samuel E. Palmer | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Dona M Tuten | Nurse Practitioner | Samuel E. Palmer | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Brittany Nicole Wright | Optometry | J Mathis Dixon Od PC | 770 Ga Hwy 96, Suite 255, Bonaire, GA 31005-5119 |
| Find all physicians in zip 31005 | |||
| City | BONAIRE |
| Zip Code | 31005 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BONAIRE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kyle Dustin Kaufman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.