NPIMap

Organization Active NPI

Kirk Constant Care LLC

  • Family Medicine Physician
  • Moultrie, GA
National Provider Identifier
1699423889
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIRK CONSTANT CARE LLC
Practice address
8 Laurel CT
Moultrie, GA 31768-6889
Phone
(229) 891-9016
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Stewart Merdian
Title
Director
Phone
(229) 890-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8 Laurel CT
Moultrie, GA 31768-6889

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 891-9131

National Provider Directory

National Provider Directory

Locations

8 Laurel Ct
Moultrie, GA 31768
Phone (229) 890-9016

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1699423889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-891-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAUREL CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686889",
            "telephone_number": "229-891-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK CONSTANT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "MERDIAN",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-890-3531"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.