David Jessie Kirby, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

2010-00614 Issued in NC

Practice address

4218 Arendell St
Suite M
Morehead City, NC 28557-2866

Phone

(252) 808-3100

Fax

(252) 808-3120

NPI assigned

Nov 16, 2005

Last updated

Apr 24, 2014By 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 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sports MedicineAlso: Family Practice

Education

Wake Forest University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Carteret County General Hospital CorporationGroup PAC ID 7517877517, 118 clinicians

Moore Orthopedics and Sports Medicine PAGroup PAC ID 1153450390, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carteret Health Care Home Health and Hospice Home health agency, Morehead City, NC, CCN 347042
• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.kirby.1@15484.direct.athenahealth.com
• Direct secure messaging: david.kirby.1@2367.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4

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.

• Carteret County General Hospital Corporation

  dba Carteret General Hospital

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Medicare reassignment Care Compare group NPD
• Carteret Medical Group LLC

  • Gastroenterology Physician
  • Morehead City, NC
  • NPI 1700164464
  Medicare reassignment Care Compare group NPD
• Moore Orthopedics and Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Morehead City, NC
  • NPI 1104156108
  Medicare reassignment Care Compare group NPD

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

• Carteret County General Hospital Corporation

  dba Carteret Home Health Service

  • Home Health Agency
  • Morehead City, NC
  • NPI 1619943800
  Care Compare affiliation
• Carteret County General Hospital Corporation

  dba Carteret General Hospital

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1083696918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 ARENDELL ST",
            "address_2": "SUITE M",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 ARENDELL ST",
            "address_2": "SUITE M",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572866",
            "telephone_number": "252-808-3100",
            "fax_number": "252-808-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "DAVID",
        "middle_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2010-00614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915523",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kids Rule Pediatrics, PA
• Kidzcare Pediatrics, PC
• Paula King, APRN
• Cheryl Kathleen Kinser, LPC
• Kristin Victoria Kinstrey, PAC
• Thomas Lloyd Kirtley Jr., M.D.
• Peter Klainer, M.D.
• Iryna Klein, PHARMD
• Michael Kline, M.D.
• Arthur G Klose, MD

• Sports Medicine (Family Medicine) Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Sports Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.