Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Allan Hopper

Individual provider Physician Assistant · NPI 1104677897

Kyle Allan Hopper is a Physician Assistant in Milligan, Tennessee. Qualified in 2024, 2 years ago. Practices with Lake Cumberland Physician Practices LLC, a 48-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

101 Neth Dr
Milligan, TN 37682-3015
Phone: (423) 461-8700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104677897
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address531 Calvin Phillips Dr, Johnson City, TN 37601-6445

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lake Cumberland Physician Practices Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Milligan