Individual provider Active NPI

Kimberly W Megow, M.D.

  • Pediatric Adolescent Medicine Physician
  • Valdosta, GA
National Provider Identifier
1184661126
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
032494 Issued in GA
Practice address
3526 Northcrossing Cir
Valdosta, GA 31602-1067
Phone
(229) 241-9500
Fax
(229) 241-1047
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 032494 GA Primary

Addresses

Primary practice location

3526 Northcrossing Cir
Valdosta, GA 31602-1067

Mailing address

3526 Northcrossing Cir
Valdosta, GA 31602-1067
Phone (229) 241-9500

Other identifiers 2

IdentifierTypeStateIssuer
85002640GMedicaidGA
0048291AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032494GAMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184661126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 NORTHCROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021067",
            "telephone_number": "229-241-9500",
            "fax_number": "229-241-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 NORTHCROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021067",
            "telephone_number": "229-241-9500",
            "fax_number": "229-241-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGOW",
        "first_name": "KIMBERLY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "032494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002640G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048291A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.