Individual provider Active NPI

Kirkland Sturgis, FNP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1851983555
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28919 Issued in TN
Practice address
1385 S Highland Ave Ste B1
Jackson, TN 38301-7547
Phone
(731) 427-0470
Fax
(731) 427-0995
NPI assigned
Feb 4, 2021
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 28919 TN Primary

Addresses

Primary practice location

1385 S Highland Ave Ste B1
Jackson, TN 38301-7547

Mailing address

32 Stonehenge Dr
Jackson, TN 38305-8540
Phone (731) 234-4612

Other practice location 1

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210402000963 TN Practitioner - Nurse Practitioner 7012324395 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 25, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 25, 2021 Accepting new patients
Primary Care - South Limited CurrentSince Mar 9, 2022 Accepting new patients
South Jackson Medical & Wellness Center LLC PastSince Jun 30, 2024 Accepting new patients

Locations

2634 N Central Ave
Humboldt, TN 38343
Phone (731) 324-1526

1385 S Highland Ave
Ste B1
Jackson, TN 38301
Phone (731) 251-3470

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1851983555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STONEHENGE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058540",
            "telephone_number": "731-234-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE STE B1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017547",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013923",
            "country_code": "US",
            "telephone_number": "731-541-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STURGIS",
        "first_name": "KIRKLAND",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.