Individual provider Active NPI

Joante Kirk

  • Family Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1659904183
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903843 Issued in MS
Practice address
1699 S Main St
Greenville, MS 38701-7364
Phone
(662) 394-5659
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903843 MS Primary

Addresses

Primary practice location

1699 S Main St
Greenville, MS 38701-7364

Mailing address

PO Box 4435
Greenville, MS 38704-4435
Phone (662) 394-5659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201116000958 MS Practitioner - Nurse Practitioner 8729499132 Reassigns benefits to 1 organization
I20230302000201 NY Practitioner - Nurse Practitioner 8729499132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Hospital & facility affiliations

  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
  • Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903843MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC CurrentSince Jan 1, 2023 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2020 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Carthage Area Hospital Inc CurrentSince Apr 21, 2024 Accepting new patients
Carthage Area Hospital Inc. CurrentSince Apr 21, 2024 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Carthage Area Hospital Inc. Past Accepting new patients

Locations

700 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2884

616 Highway 82 W
Indianola, MS 38751
Phone (662) 635-8680

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

100 Horwood Pl
Ogdensburg, NY 13669
Phone (315) 394-0426

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

Interoperability endpoints

  • Direct secure messaging: jkirk@cahclinics.medentdirect.com

Organizations & group practices 8

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 4

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1659904183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4435",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044435",
            "telephone_number": "662-394-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017364",
            "telephone_number": "662-394-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JOANTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.