Active NPI
Kevin Fitzgerald, MD
- Family Medicine Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME126226
- Practice address
- 200 SE Hospital Ave
Stuart, FL 34994-2346 - Phone
- (772) 223-5618
- Fax
- (772) 288-5834
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME126226 | FL | Primary |
Addresses
Primary practice location
200 SE Hospital Ave
Stuart, FL 34994-2346
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
721 NW 21St CT
Miami, FL 33125-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126226 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Emergency Group, LLC | Current | Accepting new patients | |
| Southland Emergency Medical Services, L.L.C | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Current | Accepting new patients | |
| Emergency Group of Columbus, LLC | Current | Accepting new patients | |
| Heritage Physician Services, LLC | Current | Accepting new patients | |
| Alma Mental Health Services Corp | Past | Accepting new patients | |
| Wills Memorial Emergency Medical Services, LLC | Past | Accepting new patients |
Locations
1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060
90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1003321969
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1477701472
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
-
- Case Management Agency
- Vero Beach, FL
- NPI 1205575289
-
- Emergency Medicine Physician
- Washington, GA
- NPI 1275066326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1891923744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-223-2832",
"fax_number": "772-223-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE HOSPITAL AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942346",
"telephone_number": "772-223-5618",
"fax_number": "772-288-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME126226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
- 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.