AUBURN KYLE ELLIOTT – Anesthesiologist Assistant, NPI 1538327846

AUBURN KYLE ELLIOTT is a healthcare provider. based in Hiram, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. The NPI Number for AUBURN KYLE ELLIOTT is 1538327846

Main info

Male
18 Years Of Experience
Name
AUBURN KYLE ELLIOTT
NPI
1538327846
Phone
(770) 794-0477
Address
146 Bill Carruth Pkwy
Enumeration Date
23 May 2008
Last Update Date
10 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6788382585
Graduation Year
2008 (18 years ago)
PAC ID
1456411750
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20081117000372
Address ID
GA301342272DO8954XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

1,389 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for AUBURN KYLE ELLIOTT

  • 146 Bill Carruth Pkwy

    Hiram, GA 301413749

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 8954 Hospital Dr

    Douglasville, GA 301342272

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 2540 Windy Hill Rd SE

    Marietta, GA 300678605

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • 677 Church St NE

    Marietta, GA 300601101

    Phone: (770) 794-0477

    Fax: (770) 794-3108

    Type: Location

  • Northside Drive Northwest, Atlantic Station, Atlanta, Georgia, 30327, United States

    ATLANTA, GA 303285834

    Phone: (770) 874-5400

    Type: Mailing

  • Austell Road, Austell, Cobb, Georgia, 30106, United States

    AUSTELL, GA 301061121

    Phone: (770) 732-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Becton, Dickinson and Company ($41).

Total Amount

$63

General + Research + Ownership

Payments

2

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2008-11-17

PECOS data refreshed: 2026-06-15

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
I20081117000372IAnesthesiology AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00103Anesthesia for procedure on eyelid3129$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 30141)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up AUBURN KYLE ELLIOTT by NPI?
Use NPI 1538327846 when you need to reference AUBURN KYLE ELLIOTT in forms, claims, or directories.
Is AUBURN KYLE ELLIOTT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does AUBURN KYLE ELLIOTT treat or focus on?
Patients typically see AUBURN KYLE ELLIOTT under the specialty Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where is AUBURN KYLE ELLIOTT's primary listing?
We display Hiram, Georgia because that is what the record indicates for AUBURN KYLE ELLIOTT.
What if Hiram, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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