NPI age
19 years
Enumerated 2007-02-02
● Active
Type 1 · Individual
DR. Jamie Ellen Kirby, M.D.
Kirby is 1 of 152 family medicine providers in Tyler and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
TX, KS
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
5414 S Broadway Ave
Tyler, TX 757031335
Mailing address
Po Box 841656
Dallas, TX 752841656
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
719 W Coke Rd Ste 3
Winnsboro, TX 754943060
Location 3
2101 W Loop 281
Longview, TX 756042506
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 302017403 | |
| 01 (TX) | 8EZ110 | BCBS |
| 01 (TX) | 75-1976930-005 | TRICARE |
| 01 (TX) | 750818167002 | TRICARE |
| 01 (TX) | P01876970 | MEDICARE RAIL ROAD |
| 01 (TX) | 8DG764 | BCBS |
| 01 (TX) | 8EZ029 | BCBS |
| 01 (TX) | 00T71U | BCBS BLUE |
| 01 (TX) | 297758YS6V | MEDICARE |
| 01 (TX) | 75-2616977-028 | TRICARE |
| 01 (TX) | 75-2616977 | RAIL ROAD |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | 75-2616977-118 | TRICARE |
| 05 (TX) | 302017401 | |
| 05 (TX) | 302017402 | |
| 01 (TX) | P01081606 | RAIL ROAD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new family medicine providers have been added in Tyler in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.