Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083284004 Individual Practitioner Female Practitioner

Shayla Mae Kicklighter , PA-C

Physician Assistant • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Shayla Kicklighter, PA-C is a registered healthcare professional specializing in Physician Assistant in Dallas, TX. Practice services are available at 12222 N CENTRAL EXPY STE 420 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12222 N Central Expy Ste 420

Dallas, TX 752433825

Telephone 9729852797
Fax 9729854797
Associated Practice Facility / Clinic
🏢 Consulting Orthopedists Facility NPI 1861544751

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1173 Specialists

Practicing in Dallas, TX (11140 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 40 $206.00 $107.33
72100 X-ray of lower and sacral spine, 2-3 views
29 19 $124.00 $34.21
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
11 11 $3353.00 $89.54

Medical Specialties & State Licenses

CMS Verified: 2022-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA15826

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Ishaq Syed , MD

Orthopaedic Surgery

NPI 1104082676

Doctor of Medicine (M.D.)

Meggan Fitzpatrick , PA-C

Physician Assistant

NPI 1124279823

Physician Assistant (Certified)

Cassidy Chu , PA

Physician Assistant

NPI 1316662026

Physician Assistant

Michelle Lu , PA-C

Physician Assistant

NPI 1407473309

Physician Assistant (Certified)

Rebecca Holiman

Physician Assistant

NPI 1437007374
Dr. Ioannis Avramis , MD

Orthopaedic Surgery

NPI 1457513012

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 06, 2022

Registered at 12222 N CENTRAL EXPY STE 420, DALLAS, TX 752433825 (Tel: 9729852797)

📍
Updated Business Mailing Address July 06, 2022

Registered at 12222 N CENTRAL EXPY STE 420, DALLAS, TX 752433825 (Tel: 9729852797)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2022

Physician Assistant (License #PA15826 in TX)

📍
Updated Business Mailing Address September 10, 2021

Registered at PO BOX 743904, ATLANTA, GA 303743904 (Tel: 8032967320)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2021

Physician Assistant (License #4016 in SC)

NPI Profile Active July 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2021

Registered at 3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 292036862 (Tel: 3862094830)

📍
Updated Business Mailing Address July 01, 2021

Registered at 212 SKY VIEW CIR, LIBERTY, SC 296579196

👤
Provider Name / Credentials Updated July 01, 2021

Recorded as SHAYLA KICKLIGHTER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083284004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2021
Last Update: July 06, 2022
Sole Proprietor: Yes

Mailing Address

12222 N Central Expy Ste 420

Dallas, TX 752433825

Phone: 9729852797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.