Kirk Lee Jackson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18273 Issued in AL

Practice address

2506 Danville Rd SW
Suite 101
Decatur, AL 35603-4232

Phone

(256) 350-6363

Fax

(256) 350-6855

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

University of South Alabama College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Health System - Morgan, LLC 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
• Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

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.

• Decatur Internal Medicine Center, P.C.

  • Internal Medicine Physician
  • Decatur, AL
  • NPI 1043246432

  AL, Internal Medicine

  Medicare reassignment NPD Authorized official
• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297

  AL

  Medicare reassignment Care Compare group NPD
• Northern Alabama Physicians, LLP

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1669618310

  AL

  Medicare reassignment NPD
• HH Health System - Morgan, LLC

  • Rural Health Clinic/Center
  • Courtland, AL
  • NPI 1295527802
  Care Compare group NPD
• H H Health System-Morgan LLC

  • Psychiatric Hospital Unit
  • Decatur, AL
  • NPI 1417209685
  Care Compare group
• HH Health System - Morgan, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1063204667
  Care Compare group
• HH Health System - Morgan, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1164214300
  Care Compare group
• HH Health System - Morgan, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1932991544
  Care Compare group
• Northern Alabama Physicians, LLP

  • Hospitalist Physician
  • Enterprise, AL
  • NPI 1952845711
  NPD
• 4MD2 in Patient Physician Services of Decatur LLC

  • Contractor
  • Decatur, AL
  • NPI 1134273345
  NPD (past)

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

• Cullman Regional Medical Center, Inc

  • General Acute Care Hospital
  • Cullman, AL
  • NPI 1114919339

  Hospital

  Care Compare affiliation
• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297

  Hospital

  Care Compare affiliation
• Hga Homecare, LLC

  • Home Health Agency
  • Decatur, AL
  • NPI 1144409004
  Care Compare affiliation
• Mid-South Home Health, LLC

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1316977945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350560870",
            "telephone_number": "855-230-8290",
            "fax_number": "256-775-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-350-6363",
            "fax_number": "256-350-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KIRK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18273",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD18273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316977945",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110160764",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51077099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77099",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin D Irwin, MSPT
• Ololade Augusta Isibor, NP
• Island Medical RTR LLC
• J.W. Homes LLC
• Antwain Jackson
• Porsha Jackson, ALC
• Stacey N Jackson, L.C.S.W. P.I.P
• Christy Flannagin Jacob, M.S., LPC, NCC, BCC
• Mark Jacob, LCSW
• Jasmine Keamber Jacobs, CRNP

• All providers in Decatur, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.