KIMBERLY JAYE MCINTOSH (MD) – Obstetrics & Gynecology Physician, NPI 1083633101

KIMBERLY JAYE MCINTOSH (MD) is a healthcare provider. based in Stockbridge, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 053808 (GA). The NPI Number for KIMBERLY JAYE MCINTOSH (MD) is 1083633101

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY JAYE MCINTOSH (MD)
NPI
1083633101
Phone
(770) 474-0064
Address
1050 EAGLES LANDING PKWY
Enumeration Date
19 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7704740064
Graduation Year
1998 (28 years ago)
PAC ID
1759362775
Group Practice PAC ID
3072504240
Professional Enrollment ID
I20040526000719
Address ID
GA302816486ST115XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for KIMBERLY JAYE MCINTOSH (MD)

  • Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States

    #302

    STOCKBRIDGE, GA 30281

    Phone: (770) 474-0064

    Fax: (770) 474-2998

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-08-07 • Largest payer in this snapshot: OptumHealth Care Solutions, LLC ($19).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040526000719IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072504240View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

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Frequently asked questions

Is KIMBERLY JAYE MCINTOSH (MD) listed with a National Provider Identifier?
Yes — KIMBERLY JAYE MCINTOSH (MD) has NPI 1083633101 on file in the registry.
Is there an active status for KIMBERLY JAYE MCINTOSH (MD)?
For scheduling context, KIMBERLY JAYE MCINTOSH (MD) is shown as active in the registry.
What clinical focus is listed for KIMBERLY JAYE MCINTOSH (MD)?
At a glance, KIMBERLY JAYE MCINTOSH (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is KIMBERLY JAYE MCINTOSH (MD) registered?
Use Stockbridge, Georgia as the headline location for KIMBERLY JAYE MCINTOSH (MD) here.
Can I trust this NPI listing for KIMBERLY JAYE MCINTOSH (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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