DR. KIRK W EGGLESTON (M.D.) – Family Medicine Physician, NPI 1396849568

DR. KIRK W EGGLESTON (M.D.) is a healthcare provider. based in Fort stewart, Georgia. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. K9521 (TX). The NPI Number for DR. KIRK W EGGLESTON (M.D.) is 1396849568

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRK W EGGLESTON (M.D.)
NPI
1396849568
Phone
(912) 435-6633
Address
1061 HARMON AVE. STE 1D03
Enumeration Date
11 September 2006
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2548658251
Graduation Year
1990 (36 years ago)
PAC ID
6204011794
Group Practice PAC ID
7719886282
Professional Enrollment ID
I20181219002602
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. KIRK W EGGLESTON (M.D.)

  • 1061 HARMON AVE. STE 1D03

    FORT STEWART, GA 313155641

    Phone: (912) 435-6633

    Type: Location

  • 590 Medical Center Drive

    Fort Cavazos, TX 765445060

    Phone: (254) 630-3499

    Type: Location

  • 201 E CENTRAL TEXAS EXPY STE 200

    HARKER HEIGHTS, TX 765482777

    Phone: (254) 499-8743

    Type: Location

  • Coryell Memorial Healthcare System, 1507, West Main Street, Gatesville, Coryell County, Texas, 76528, United States

    GATESVILLE, TX 765281024

    Phone: (254) 865-2166

    Fax: (254) 248-6303

    Type: Mailing

  • 4070 STANLEY RD STE 121

    FORT SAM HOUSTON, TX 782342715

    Phone: (254) 630-3499

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181219002602IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31315)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719886282View full group profile
NameSpecialtyState
U R O L O G YTX
General SurgeryTX
Pain Management, AnesthesiologyTX
Family Practice, Emergency MedicineTX
-TX
Nurse PractitionerTX
-TX
Physician AssistantTX
Family PracticeTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KIRK W EGGLESTON (M.D.)?
NPI 1396849568 is assigned to DR. KIRK W EGGLESTON (M.D.) under the national enumeration system.
Is DR. KIRK W EGGLESTON (M.D.) currently active in the NPI registry?
CMS-published data lists DR. KIRK W EGGLESTON (M.D.) as an active registrant.
Can you summarize DR. KIRK W EGGLESTON (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. KIRK W EGGLESTON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KIRK W EGGLESTON (M.D.)?
The snapshot lists Fort Stewart, Georgia for DR. KIRK W EGGLESTON (M.D.); download NPPES for the complete set.
What if Fort Stewart, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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