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

Individual provider Physician Assistant · NPI 1912674250

Kyle G Hickman, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2021, 5 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
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

111 S Grant Ave Ste 350
Columbus, OH 43215-4701
Phone: (614) 566-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Olentangy River Rd, Columbus, OH 43214-3998 — (614) 566-5283

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007205RX (OH)

Record details

NPI number1912674250
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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