Kimberly K Nesbitt, M.D.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

25590 Issued in MS

Practice address

8900 Delta Bluff CV
Walls, MS 38680-4400

Phone

(662) 510-4660

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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 Treatment of Mississippi LP

  • Methadone Clinic
  • Biloxi, MS
  • NPI 1124559976
  NPD (past)
• Metro Treatment of Mississippi LP

  • Methadone Clinic
  • Walls, MS
  • NPI 1861928541
  NPD (past)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2023.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1336285246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 HARBOR VIEW DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031554",
            "telephone_number": "615-604-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 DELTA BLUFF CV",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "386804400",
            "telephone_number": "662-510-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Harbor View Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381031554",
            "country_code": "US",
            "telephone_number": "615-604-7922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Mallory Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672843",
            "country_code": "US",
            "telephone_number": "615-813-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "30324",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "30324",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MS",
            "license": "25590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06435820",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3101380",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3833877",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy McKenzie
• Metro Treatment of Mississippi LP
• Jasmine Kinata Minnis, APRN, ACNPC- AG
• Mississippi CVS Pharmacy LLC
• Christian Muenyi, PHARM.D
• Lashonda Netterville
• Kenyia Noble
• On the Right Track
• Ishita Pareek, MS, NCC, PCAT
• Robin Priest

• All providers in Walls, MS
• Addiction Medicine (Preventive Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.