Jody Kirk
Medical Specialty
Professional ID
- NPI: 1457657926
- PECOS ID: 0143464255
- Enrollment ID: I20150803001638
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2010
Hospital Service
- Hospital CCN1: 100026
- Business Name (LBN)1: Bay Medical Center Sacred Heart Health System
- Hospital CCN2: 010108
- Business Name (LBN)2: Prattville Baptist Hospital
- Hospital CCN3: 100242
- Business Name (LBN)3: Gulf Coast Regional Medical Center
Medical Practices
- Organization Name:
- Group Practice ID assigned by PECOS: 7810064557
- Number of Group Practice member: 0
Location
- Address1: 645 Mcqueen Smith Rd N
- Address2: Suite 105
- City: Prattville
- State: Alabama
- Zip Code: 36066
- Phone Number: (334)361-7656
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):