Robert Carson Kirksey, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

11741 Issued in MS

Practice address

830 S Gloster St
Tupelo, MS 38801-4934

Phone

(866) 754-3852

Fax

(205) 313-5245

NPI assigned

Oct 4, 2006

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert_kirksey_md_er@yourcarecommunity.org

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.

• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment NPD
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  Medicare reassignment NPD
• North Ms Emergency Physicians

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1891724035
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1013002997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3079",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392073079",
            "telephone_number": "866-754-3852",
            "fax_number": "205-313-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "866-754-3852",
            "fax_number": "205-313-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Earl Frye Blvd",
            "address_purpose": "LOCATION",
            "city": "Amory",
            "state": "MS",
            "postal_code": "388215500",
            "country_code": "US",
            "telephone_number": "662-256-7111",
            "fax_number": "662-256-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKSEY",
        "first_name": "ROBERT",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "11741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944815",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina King, FNP-C
• Tyler Andrew King, PT, DPT
• Latoya L Kinnard, LPC
• Jacqueline Kirk, LPTA
• Jarome Lea Kirkland
• William M Kirksey, M.D.
• April M Kitchens, BSW
• Matthew Tyler Kittrell
• William Brandon Klein, M.ED., BCBA, LABA
• Russell A Knight, M.D.

• Emergency Medicine Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.