NPIMap

Individual provider Active NPI

Kecia K Kirk, M.D.

  • Family Medicine Physician
  • Oxford, MS
National Provider Identifier
1407957632
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18421 Issued in MS
Practice address
1397 Belk Blvd
Oxford, MS 38655-5301
Phone
(662) 236-4675
Fax
(662) 281-0819
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18421 MS Primary

Addresses

Primary practice location

1397 Belk Blvd
Oxford, MS 38655-5301

Mailing address

1397 Belk Blvd
Oxford, MS 38655-5301
Phone (662) 236-4675

Other identifiers 1

IdentifierTypeStateIssuer
P00463813OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000260 MS Practitioner - Family Practice 6507894276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Family Medicine Group of Oxford PAGroup PAC ID 2567509482, 4 clinicians

Practice addresses (Care Compare)

1397 Belk Blvd
Oxford, MS 38655-5301
Phone (662) 236-4675

960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000

Hospital & facility affiliations

  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18421MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 4, 2026 Accepting new patients
North Mississippi Family Medicine Group of Oxford PA Family Medicine CurrentSince Jun 1, 2009 Accepting new patients
State of Mississippi-University of Mississippi Medical Center Family Medicine CurrentSince Feb 4, 2026 Accepting new patients
St. Dominic Medical Associates LLC Family Medicine Past Accepting new patients

Locations

960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450

1300 Sunset Dr
Ste F
Grenada, MS 38901
Phone (662) 226-5747

1397 Belk Blvd
Oxford, MS 38655
Phone (662) 236-4675

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1407957632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-236-4675",
            "fax_number": "662-281-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-236-4675",
            "fax_number": "662-281-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KECIA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00463813",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.