Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kayla Marie Rose, PA-C

Individual provider Physician Assistant · NPI 1689021651

Kayla Marie Rose, PA-C is a Physician Assistant in Valdosta, Georgia. Qualified in 2016, 10 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
10
Licensed in
GA, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3207 Country Club Dr Bldg B
Valdosta, GA 31605-1029
Phone: (229) 433-8160
Fax: (229) 244-2707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008652 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06635 (NC)

Record details

NPI number1689021651
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESMarch 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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