Jason Kirby, DO, MBA, FASAM

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

4609 Issued in TN

Practice address

Landmark Recovery of Knoxville
1016 Ic King Road
Seymour, TN 37865

Phone

(654) 488-5174

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WV, OH, KY, ME5 enrollments

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 5

Specialty

Preventive Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pursuecare, LLCGroup PAC ID 4587998927, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Business Administration

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkirby788313@direct.trinity-health.org
• Direct secure messaging: jason.kirby.1@28331.direct.athenahealth.com
• Direct secure messaging: jason.kirby@297228672368644.direct.elationemr.com

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.

• Pursuecare, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Middletown, CT
  • NPI 1962068296

  KY, ME, OH, WV

  Medicare reassignment Care Compare group NPD
• Pai Medical WV PLLC

  • Psychiatry Physician
  • Kearneysville, WV
  • NPI 1972323061

  Family Medicine

  Medicare reassignment NPD
• Pursuecare Connecticut PC

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1003443185

  PA

  Medicare reassignment NPD
• Pursuecare Pennsylvania PLLC

  • Adult Mental Health Clinic/Center
  • Bethlehem, PA
  • NPI 1679307029
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Ophelia Medical Group, P.C.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Philadelphia, PA
  • NPI 1376179150
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Urgent Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1942674569
  NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1295056281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD STE 500",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677259",
            "telephone_number": "412-779-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LANDMARK RECOVERY OF KNOXVILLE",
            "address_2": "1016 IC KING ROAD",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "37865",
            "telephone_number": "654-488-5174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Cool Springs Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370677259",
            "country_code": "US",
            "telephone_number": "185-585-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DO, MBA, FASAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015816",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "301496",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "301496",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "4609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K VA T Food Stores Inc
• Leigh Ayn Kennard
• Alexander S Kerr, PA
• Kids Choice Pediatrics PLLC
• Makayla King, RBT
• Kroger Limited Partnership I
• Wendy Wimbrow Laforest, PNP
• Kara A Lakatosh, PT
• Landmark Recovery of Tennessee LLC
• Kimberly Ann Lebouef, M.S., R.D., L.D.N.

• Addiction Medicine (Family Medicine) Physician in Seymour, TN
• Providers in Seymour, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.