James Carl Kisner Jr., PA - C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.708 Issued in AL

Practice address

245 Governors Dr SE
Huntsville, AL 35801-2700

Phone

(256) 265-8553

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Decatur General Hospital

  • Psychiatric Hospital Unit
  • Decatur, AL
  • NPI 1326288770
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750347191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012700",
            "telephone_number": "256-265-8553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Gillingham Dr",
            "address_purpose": "LOCATION",
            "city": "Brooks City-Base",
            "state": "TX",
            "postal_code": "78235",
            "country_code": "US",
            "telephone_number": "210-536-6946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2485 Gillingham Dr",
            "address_purpose": "LOCATION",
            "city": "Brooks City-Base",
            "state": "TX",
            "postal_code": "78235",
            "country_code": "US",
            "telephone_number": "210-536-6946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISNER",
        "first_name": "JAMES",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04005",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA.708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M Kirk, M.D.
• Jamia Malise Kirk
• Maxie C. Kirk, MSW
• Brenda Kirkendall, DDS
• Jessica Kirkland, CRNP
• Deeann Yvonne Kizziah, CRNP
• April Klar, CRNP
• Donald Klasing, MD
• Kurt Matthew Kleeman, M.D.
• Chandler Joseph Klemm

• Medical Physician Assistant in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.