Stephanie H Kong, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

039388 Issued in GA

Practice address

210 Hannahs Mill Rd
Thomaston, GA 30286-2801

Phone

(706) 938-0990

NPI assigned

Sep 13, 2005

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

Other identifiers 2

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

Specialty

Pediatric Medicine

Education

University of Wisconsin School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.kong@zoepediatrics.gadirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA
• Direct secure messaging: stephanie.kong@zoep.eclinicaldirectplus.com

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

• Zoe Center for Pediatric & Adolescent Health, LLC

  • Pediatric Adolescent Medicine Physician
  • Thomaston, GA
  • NPI 1053684936
  Medicare reassignment NPD Authorized official
• Zoe Pediatric After Hours Care, Inc

  • Pediatrics Physician
  • Columbus, GA
  • NPI 1174971303
  NPD
• Zoe Center for ABA and Development Services, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1518469220
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1508851908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HANNAHS MILL RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862801",
            "telephone_number": "706-938-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HANNAHS MILL RD",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862801",
            "telephone_number": "706-938-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "STEPHANIE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "039388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956718471F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956718471B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith B. Huckaby, M.D.
• Kyjha Jashay Kendall
• Tina M Kent, N.P.
• Darryl Hugh Knight, M.D.
• Mary Knight
• Diana Lynn Kreismanis, MSN, APRN, FNP-C
• Thomas M Kretzmer, OD
• Jessica Lamme
• Sabrina M. Lancaster, FNP
• Crystal H Lee, LPN

• Pediatrics Physician in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.