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

Kacy Mikala Kirk, NP

Individual provider Family Nurse Practitioner · NPI 1063950160

Kacy Mikala Kirk, NP is a Nurse Practitioner in Tullahoma, Tennessee. Qualified in 2016, 10 years ago. Practices with Centerstone of Tennessee, Inc, a 115-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
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1803 N Jackson St
Tullahoma, TN 37388-2201
Phone: (931) 455-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 — (931) 954-5605

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22311 (TN)

Record details

NPI number1063950160
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 8, 2017
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 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 Centerstone Of Tennessee, Inc. — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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