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

Justin Lance Kirby

Individual provider Nurse Practitioner · NPI 1104364496

Justin Lance Kirby is a Nurse Practitioner in Chattanooga, Tennessee. Qualified in 2016, 10 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2017
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Practice location Address checks out

975 E 3rd St Hospitalist
Chattanooga, TN 37403-2147
Phone: (423) 778-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2205 McCallie Ave Ste 310, Chattanooga, TN 37404-3334 — (423) 698-2435

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 22286 (TN)

Record details

NPI number1104364496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2017
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chattanooga