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

Mr. Kyle D Horner, PA-C

Individual provider Surgical Physician Assistant · NPI 1295903342

Mr. Kyle D Horner, PA-C is a Physician Assistant in Raleigh, North Carolina. Qualified in 2007, 19 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
19
Licensed in
FL, NC
In the registry since
2008
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

2800 Blue Ridge Rd Ste 400
Raleigh, NC 27607-6477
Phone: (919) 787-5380
Fax: (919) 787-3415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2800 Blue Ridge Rd, Raleigh, NC 27607-6478 — (919) 784-7110

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06049 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9104485 (FL)

Record details

NPI number1295903342
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2008
Last updated in NPPESApril 21, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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