Individual provider Active NPI

Kayli Anne Hurst, DPM

  • Podiatrist
  • Savannah, TN
National Provider Identifier
1003493305
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
958 Issued in TN
Practice address
425 Wayne Rd
Savannah, TN 38372-1944
Phone
(731) 925-9788
NPI assigned
Mar 24, 2021
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 80253 MS
Podiatrist 213E00000X 958 TN Primary

Addresses

Primary practice location

425 Wayne Rd
Savannah, TN 38372-1944

Mailing address

425 Wayne Rd
Savannah, TN 38372-1944
Phone (731) 925-9788

Other practice location 1

129 Pratt Dr
Corinth, MS 38834-6026
Phone (662) 286-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240808000885 MS Practitioner - Podiatry 3173925914 Reassigns benefits to 2 organizations
I20240809002306 TN Practitioner - Podiatry 3173925914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

129 Pratt Dr
Corinth, MS 38834-6026
Phone (662) 286-1406

425 Wayne Rd
Savannah, TN 38372-1944
Phone (731) 925-9788

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue78
Removal of skin lesions57
Removal of nail tissue227
Removal or shaving of skin growth21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80253MSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Darrin Hurst DPM West Tennessee Foot Clinic Podiatrist CurrentSince Jul 28, 2024 Accepting new patients

Locations

129 Pratt Dr
Corinth, MS 38834
Phone (662) 286-1406

425 Wayne Rd
Savannah, TN 38372
Phone (731) 925-9788

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: khurst592333@direct.franciscanalliance.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1003493305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721944",
            "telephone_number": "731-925-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721944",
            "telephone_number": "731-925-9788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Pratt Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388346026",
            "country_code": "US",
            "telephone_number": "662-286-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "KAYLI",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80253",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.