DR. KIMBERLY JILL STOUGHTON-DOHERTY MD
NPI 1154326932
Pediatrics in St. Marys, GA

Q: What is Kimberly Stoughton-doherty's NPI number?

The NPI number for Kimberly Stoughton-doherty is 1154326932. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Kimberly Stoughton-doherty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 17, 2005PECOS Enrolled

2040 DAN PROCTOR DR., SUITE 140, ST. MARYS, GA 31558(912) 673-8000(912) 673-8008 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kimberly Jill Stoughton-doherty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY JILL STOUGHTON-DOHERTY MD (NPI 1154326932) is an individual pediatrics provider in St. Marys, Georgia, licensed in Georgia (055981) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154326932

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KIMBERLY JILL STOUGHTON-DOHERTYCredential: MD

Location Address2040 DAN PROCTOR DR., SUITE 140St. Marys, GA 31558

Mailing Address2040 Dan Proctor Dr., Suite 140St. Marys, GA 31558 · (912) 673-8000 · Fax (912) 673-8003

Phone(912) 673-8000

Fax(912) 673-8008

Sole ProprietorNo

Enumeration DateJune 17, 2005

Last NPPES UpdateNovember 4, 2016

✔ NPI 1154326932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 055981

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2040 DAN PROCTOR DR., St. Marys, GA 31558

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Jill Stoughton-doherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Stoughton-doherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cooperative Healthcare Services Inc

28 mi

Clinic/Center

2415 PARKWOOD DR
Brunswick, GA 31520

Reassigned Medicare billing, Georgia enrollment
339 clinicians in this Medicare group

NPI 1417979402 (912) 466-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31558 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RENALI AMPARO C. AGBAYANI-BAUTISTA M.D.

Pediatrics

2040 DAN PROCTOR DR., SUITE 140
ST. MARYS, GA 31558

Camden County (912) 673-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Stoughton-doherty's NPI number?

The NPI number for Kimberly Stoughton-doherty is 1154326932. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Kimberly Stoughton-doherty located?

Kimberly Stoughton-doherty practices at 2040 Dan Proctor Dr. Suite 140, St. Marys, GA 31558. The listed phone number is (912) 673-8000.

What is Kimberly Stoughton-doherty's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Stoughton-doherty enrolled in Medicare?

Yes. Kimberly Stoughton-doherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Stoughton-doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stoughton-doherty reassigns Medicare benefits to Cooperative Healthcare Services Inc (Brunswick, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Stoughton-doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Stoughton-doherty accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kimberly Stoughton-doherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Stoughton-doherty was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.