Lawrence Kirk MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042072 Issued in GA

Legal business name

LAWRENCE KIRK MD LLC

Practice address

200 Ga Highway 49 S
Byron, GA 31008-6937

Phone

(478) 956-2648

NPI assigned

Nov 10, 2006

Last updated

Dec 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lawrence F Kirk Jr.NPI 1619962610

Title

MD

Phone

(478) 956-2648

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence F Kirk Jr., MD

  • Family Medicine Physician
  • Byron, GA
  • NPI 1619962610
  Medicare reassignment Authorized official
• Gina Kirk, FNP

  • Family Nurse Practitioner
  • Byron, GA
  • NPI 1811982127
  Medicare reassignment NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1942371158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26040",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216040",
            "telephone_number": "478-475-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GA HIGHWAY 49 S",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086937",
            "telephone_number": "478-956-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE KIRK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "478-956-2648",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5634",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onkar Kaur, M.D.
• Andrew Kicklighter, DMD
• Gina Kirk, FNP
• Lawrence F Kirk Jr., MD
• Alison Lassiter
• Caroline Layfield
• Rachel Ann Layson, FNP-C
• Lisa Lee, MT(ASCP)
• Legacy Hands Healthcare Services LLC
• Fatima Leggett

• Family Medicine Physician in Byron, GA
• Providers in Byron, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.