Individual provider Active NPI

Kirk Alexander Sturridge, M.D.

  • Ophthalmology Physician
  • Dothan, AL
National Provider Identifier
1568616977
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.30046 Issued in AL
Practice address
5937 W Main St
Dothan, AL 36305-9317
Phone
(334) 446-0872
Fax
(334) 446-0893
NPI assigned
Nov 12, 2008
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.30046 AL Primary

Addresses

Primary practice location

5937 W Main St
Dothan, AL 36305-9317

Mailing address

5937 W Main St
Dothan, AL 36305-9317
Phone (334) 446-0872

Other identifiers 3

IdentifierTypeStateIssuer
80637829AMedicaidGA
002006500MedicaidFL
117610MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20100721000554 AL Practitioner - Ophthalmology 3678625803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5937 W Main St
Dothan, AL 36305-9317
Phone (334) 446-0872

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as individual
Quality
84.56
Improvement activities
40
Cost
75.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery579
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.30046ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Eye Physicians and Surgeons, P.C. Ophthalmology CurrentSince Feb 17, 2015 Accepting new patients
Alabama Eye Surgery Center LLC CurrentSince Dec 1, 2016 Accepting new patients
Clear Sight Optical LLC Ophthalmology CurrentSince Jan 23, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

5540 W Main St
Ste 3
Dothan, AL 36305
Phone (334) 446-0872

5937 W Main St
Dothan, AL 36305
Phone (334) 446-0872

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1568616977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059317",
            "telephone_number": "334-446-0872",
            "fax_number": "334-446-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059317",
            "telephone_number": "334-446-0872",
            "fax_number": "334-446-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURRIDGE",
        "first_name": "KIRK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.30046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80637829A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002006500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117610",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.