Active NPI
Mark Kirk Jr.
- Internal Medicine Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 54042
- Practice address
- 4370 W Main St
Dothan, AL 36305-1056 - Phone
- (334) 793-5000
- Fax
- (659) 235-6176
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 54042 | AL | Primary |
| Internal Medicine Physician | 207R00000X | 37367 | MS | |
| Internal Medicine Physician | 207R00000X | 70907 | AZ |
Addresses
Primary practice location
4370 W Main St
Dothan, AL 36305-1056
Mailing address
PO Box 680060
Franklin, TN 37068-0060
Phone (877) 848-1457
Other practice location 1
1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000
Other practice location 2
13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (623) 882-1500
Other practice location 3
18701 N 67th Ave
Glendale, AZ 85308-7100
Phone (623) 561-1000
Other practice location 4
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8000
Other practice location 5
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100
Other practice location 6
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MT, ID, NJ, NY, NC, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6300
4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000
901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000
Hospital & facility affiliations
- St Joseph Regional Medical Center
- Centrastate Medical Center
- Western Arizona Regional Medical Center
- Tri-State Memorial Hospital
- Clearwater Valley Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Acute Care Specialists Professional Corporation | Single Specialty | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona, LLC | Single Specialty | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona LLC | Single Specialty | Current | Accepting new patients |
| Brookview Medical Associates, PLLC | Single Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Single Specialty | Current | Accepting new patients |
| Signify Health Medical Associates of New Jersey, LLC | Single Specialty | Current | Accepting new patients |
| Sound Physicians of Idaho | Single Specialty | Current | Accepting new patients |
| Signify Health, LLC | Single Specialty | Current | Accepting new patients |
| St. Joseph Hospital LLC | Past | Accepting new patients | |
| Bullhead City Hospital Corporation | Past | Accepting new patients |
Locations
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000
4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000
3011 American Way
Missoula, MT 59808
Phone (406) 546-8745
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000
116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- mkirk2857336@direct.trinity-health.org
- mkirk513800@direct.ahsys.org
Organizations & group practices 13
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.
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1689909780
Single Specialty
-
- Hospitalist Physician
- East Orange, NJ
- NPI 1073805917
Single Specialty
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
Single Specialty
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
Single Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MT, NC, Single Specialty
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1972283828
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1750061610
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Hospitalist Physician
- Bullhead City, AZ
- NPI 1265823215
Single Specialty
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
-
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
-
- Rural Health Clinic/Center
- Orofino, ID
- NPI 1033153739
Hospital
-
- Family Medicine Physician
- Orofino, ID
- NPI 1073551396
Hospital
-
- Critical Access Hospital
- Orofino, ID
- NPI 1255449013
-
- Durable Medical Equipment & Medical Supplies
- Orofino, ID
- NPI 1558410399
Hospital
-
- Family Medicine Physician
- Orofino, ID
- NPI 1891733747
Hospital
-
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1477180107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 680060",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370680060",
"telephone_number": "877-848-1457",
"fax_number": "629-235-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051056",
"telephone_number": "334-793-5000",
"fax_number": "659-235-6176"
}
],
"practiceLocations": [
{
"address_1": "1930 E Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850167711",
"country_code": "US",
"telephone_number": "602-532-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13677 W McDowell Rd",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853952635",
"country_code": "US",
"telephone_number": "623-882-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18701 N 67th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853087100",
"country_code": "US",
"telephone_number": "623-561-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5001 Hardy St",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394021308",
"country_code": "US",
"telephone_number": "601-268-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "54 Sergeant Prentiss Dr",
"address_purpose": "LOCATION",
"city": "Natchez",
"state": "MS",
"postal_code": "391204726",
"country_code": "US",
"telephone_number": "601-443-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1007 Goodyear Ave",
"address_purpose": "LOCATION",
"city": "Gadsden",
"state": "AL",
"postal_code": "359031195",
"country_code": "US",
"telephone_number": "256-494-4000",
"fax_number": "659-235-6176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRK",
"first_name": "MARK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "54042",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "37367",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "70907",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.