KYLE CANNADY – Family Nurse Practitioner, NPI 1457733826

KYLE CANNADY is a healthcare provider. based in Metter, Georgia. specializing in Family Nurse Practitioner. They hold a License No. RN221018 (GA). The NPI Number for KYLE CANNADY is 1457733826

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KYLE CANNADY
NPI
1457733826
Phone
(912) 685-1701
Address
12 Doctors St
Enumeration Date
22 June 2015
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4782372638
Graduation Year
2015 (11 years ago)
PAC ID
8426354069
Group Practice PAC ID
0547228686
Professional Enrollment ID
I20160308002755
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KYLE CANNADY

  • 12 Doctors St

    Metter, GA 30439

    Phone: (912) 685-1701

    Type: Location

  • 10 Doctors St

    Metter, GA 304393337

    Phone: (912) 685-5715

    Type: Location

  • 400 CEDAR ST

    METTER, GA 304393338

    Phone:

    Type: Mailing

  • 215 N COLEMAN ST

    SWAINSBORO, GA 304013530

    Phone: (478) 237-2638

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $412.

Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($163).

Total Amount

$412

General + Research + Ownership

Payments

26

Total payment records

General Amount

$412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160308002755INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547228686View full group profile
NameSpecialtyState
Family PracticeGA
O P T O M E T R YSC
Nurse PractitionerGA
Hospitalist, Hospice/Palliative Care, Internal MedicineSC
-GA
C H I R O P R A C T I CGA
Internal MedicineGA
-GA
Clinical Social WorkerOK
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for KYLE CANNADY in the U.S.?
In the U.S., KYLE CANNADY is identified by NPI 1457733826.
Is KYLE CANNADY currently accepting referrals based on NPI status?
Registry metadata lists KYLE CANNADY as active.
What services align with KYLE CANNADY's listing?
KYLE CANNADY's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KYLE CANNADY in Metter, Georgia?
For routing, start with Metter, Georgia for KYLE CANNADY, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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