Active NPI
Kirkland Sturgis, FNP-C
- Family Nurse Practitioner
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28919
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Primary Care - South Limited | Current | Accepting new patients | |
| South Jackson Medical & Wellness Center LLC | Past | 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.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Primary Care Clinic/Center
- Jackson, TN
- NPI 1366928087
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
dba South Jackson Medical & Wellness Center
- Primary Care Nurse Practitioner
- Jackson, TN
- NPI 1295570083
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.