John Austin Kirby, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35319 Issued in TN

Practice address

120 Hospital Dr
Ste 130
Jefferson City, TN 37760-5279

Phone

(865) 475-4742

Fax

(865) 262-0100

NPI assigned

Jun 28, 2005

Last updated

Sep 27, 2012By 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 TN

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

Internal Medicine

Education

Emory University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Volunteer Healthcare Services, Inc.Group PAC ID 8820003981, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
• Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.kirby.1@20785.direct.athenahealth.com

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.

• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment Care Compare group NPD
• Volunteer Healthcare Services, Inc.

  dba Dynamic Physical Therapy

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1760428296
  Care Compare group
• Summit Medical Group,PLLC

  dba Tennessee Valley Primary Care

  • Internal Medicine Physician
  • Jefferson City, TN
  • NPI 1952560625
  NPD
• Summit Medical Group PLLC

  dba Summit Medical Group of Oak Ridge

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group, PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1699722470

  Internal Medicine

  NPD (past)
• Summit Medical Group,PLLC

  dba Summit Medical Group of Cookeville

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)

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

• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Knoxville, TN
  • NPI 1710935408
  Care Compare affiliation
• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Jefferson County Hma LLC

  dba Tennova Healthcare-Jefferson Memorial Hospital

  • General Acute Care Hospital
  • Jefferson City, TN
  • NPI 1972585347
  Care Compare affiliation
• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1275539835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR",
            "address_2": "STE 130",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605279",
            "telephone_number": "865-475-4742",
            "fax_number": "865-262-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JOHN",
        "middle_name": "AUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY GROUP",
            "identifier": "3706633",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00436759",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amber Leighann Kohlmeyer, PMHNP-BC
• Aqueel M Kouser, MD
• Patricia Ann Kraft, FNP

• Internal Medicine Physician in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.