Phillip Darrell Kirkland, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1277 Issued in TN

Practice address

8115 Beaver Ridge Rd
Knoxville, TN 37931-3314

Phone

(865) 414-6654

NPI assigned

Oct 2, 2007

Last updated

Apr 9, 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 2

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: philkirkland@direct.meditouchehr.com
• Direct secure messaging: phillip.kirkland.p1@direct.cmcentersinc.nextgenshare.com
• Direct secure messaging: phillip.kirkland.p1@direct.orthotn.nextgenshare.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.

• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment NPD
• Volunteer Urgent and Primary Care, P.C.

  • Urgent Care Clinic/Center
  • Knoxville, TN
  • NPI 1629471131

  Medical

  NPD (past) Authorized official
• Cherokee Nation

  dba Cherokee Nation Public Health

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Vinita, OK
  • NPI 1558377226
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1841207156
  NPD
• Neighborhood Medical LLC

  dba Neighborhood Primary Care

  • Primary Care Clinic/Center
  • Jacksboro, TN
  • NPI 1780008656
  NPD (past)
• Orthotennessee, PC

  dba Koc

  • Orthopaedic Surgery Physician
  • Knoxville, TN
  • NPI 1053402040
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1275720492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 BEAVER RIDGE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313314",
            "telephone_number": "865-414-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 BEAVER RIDGE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379313314",
            "telephone_number": "865-414-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "PHILLIP",
        "middle_name": "DARRELL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516699",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4177381",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoray Kirk, LPC
• Susan Kirk, LCSW
• Makayla Renee Kirkendall
• Kristina Lea Kirkland, MSSW
• Nichole Kirkland
• Samantha Kirkland, AGACNP-BC
• Savannah C Kirkland, D.O.
• Daniel Jason Kirkpatrick, D.D.S.
• Tammy Ann Kirkpatrick, L.P.N.
• James W. Kirksey, M.D.

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.