Russell Connelly Kirks, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

79298 Issued in GA

Practice address

594 S Columbia Ave Ste 100
Rincon, GA 31326-9095

Phone

(912) 826-4057

Fax

(912) 826-2853

NPI assigned

May 6, 2013

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

Medicare fee-for-service enrollment

Enrolled in GA

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

General Surgery

Education

Medical College of Georgia School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SJC Ms General Surgery LLCGroup PAC ID 4183071608, 6 clinicians

Metro Surgical PCGroup PAC ID 2961490669, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler Hospital Hospital, Savannah, GA, CCN 110024
• St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Metro Surgical, PC

  • Surgery Physician
  • Rincon, GA
  • NPI 1902823024
  Medicare reassignment Care Compare group NPD
• SJC Ms General Surgery, LLC

  • Surgery Physician
  • Rincon, GA
  • NPI 1295519775
  Medicare reassignment Care Compare group NPD
• Metro Surgical PC

  • Surgery Physician
  • Bluffton, SC
  • NPI 1033481551
  NPD
• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  NPD (past)

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

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889
  Care Compare affiliation
• Saint Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1285079186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 S COLUMBIA AVE STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269095",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 S COLUMBIA AVE STE 100",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269095",
            "telephone_number": "912-826-4057",
            "fax_number": "912-826-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5354 Reynolds St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056007",
            "country_code": "US",
            "telephone_number": "912-352-0920",
            "fax_number": "912-352-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKS",
        "first_name": "RUSSELL",
        "middle_name": "CONNELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "79298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariz Ysabelle Kanger
• Kathryn Klock-Powell and Associates, LLC
• Kimberley S Keough
• Kimberly G Redick DMD Family and Cosmetic Dentistry PC
• Marcy King, PA-C
• Kathryn Klock-Powell, PHD, LMFT
• Christopher Daniel Kohls, M.D.
• William Joseph Kolhoff, M.D.
• James Kress, LPC, CADC2
• Adrianne Denise Kuch, PT,DPT

• Surgery Physician in Rincon, GA
• Providers in Rincon, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.