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

Individual provider Physician Assistant · NPI 1316642234

Kyle Allan Kenobbie, PA-C is a Physician Assistant in Fayetteville, Georgia. Qualified in 2023, 3 years ago. Practices with Piedmont Cancer Institute PC, a 44-clinician group and works from 5 locations.

Years since qualifying
3
In the registry since
2023
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

1267 Highway 54 W Ste 4200
Fayetteville, GA 30214-2112
Phone: (678) 829-1060
Fax: (678) 829-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1800 Howell Mill Rd Nw Ste 800, Atlanta, GA 30318-0922 — (404) 350-9853
  • 755 Mount Vernon Hwy Ne Ste 320, Atlanta, GA 30328-4288 — (404) 350-8711
  • 775 Poplar Rd Ste 310, Newnan, GA 30265-8303 — (770) 251-2590
  • 1240 Eagles Landing Pkwy Ste 260, Stockbridge, GA 30281-5173 — (678) 854-9500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1316642234
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Piedmont Cancer Institute Pc — 44 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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