Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. James Kyle Buck III, MD

Individual provider Anesthesiology Physician · NPI 1477057214

Dr. James Kyle Buck III, MD is an Anesthesiology in Kingsport, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2018, 8 years ago. Practices with Anesthesiology Consultants of North Carolina PLLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
NC
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone: (423) 390-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 — (336) 716-4426

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2020-02785 (NC)

Record details

NPI number1477057214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Anesthesiology Consultants Of North Carolina Pllc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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