Kimberly Jill Stoughton-Doherty, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

055981 Issued in GA

Practice address

2040 Dan Proctor Dr.
Suite 140
St. Marys, GA 31558

Phone

(912) 673-8000

Fax

(912) 673-8008

NPI assigned

Jun 17, 2005

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/
• Direct secure messaging: kdohert@secure.sghsmessaging.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Pediatrics

  Medicare reassignment NPD
• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physicians Associates Camden Pediatrics

  • Family Nurse Practitioner
  • Saint Marys, GA
  • NPI 1659709152
  NPD (past)
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1154326932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR.",
            "address_2": "SUITE 140",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-673-8000",
            "fax_number": "912-673-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 DAN PROCTOR DR.",
            "address_2": "SUITE 140",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-673-8000",
            "fax_number": "912-673-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUGHTON-DOHERTY",
        "first_name": "KIMBERLY",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "055981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Levitt Steele, LCSW
• Kaitlin P Steen
• Colleen Stephens
• Stone Harbor Medical Management LLC (Kings Bay Family Care)
• April Stone
• Meribeth L. Straub, P.T.
• Karen Elizabeth Streiff, RD, FNC
• Amanda N Stroup
• Anita Sumner, CCC-SLP
• Natalie Swift

• Pediatrics Physician in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.