DR. KIMBERLY K NESBITT M.D. NPI 1336285246

NPI Information

NPI: 1336285246
Provider Name: DR. KIMBERLY K NESBITT, M.D.
Classification: Preventive Medicine - 2083A0300X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
8900 DELTA BLUFF CV
WALLS, MS
ZIP 38680
Phone: (662) 510-4660
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DR. Kimberly K Nesbitt, M.D. is an addiction medicine preventive medicine in Walls, MS. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Kimberly K Nesbitt, M.D. NPI is 1336285246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8900 DELTA BLUFF CV
WALLS, MS
ZIP 38680-400
Phone: (662) 510-4660

The NPI 1336285246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083A0300X	Preventive Medicine	Addiction Medicine	30324	TENNESSEE	No
2	207L00000X	Anesthesiology		30324	TENNESSEE	No
3	2083A0300X	Preventive Medicine	Addiction Medicine	25590	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06435820	MEDICAID	MISSISSIPPI
2	3101380	OTHER	TENNESSEE	BCBS
3	3833877	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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