KIMBERLY M STROUD (MD) – Pediatrics Physician, NPI 1407840879

KIMBERLY M STROUD (MD) is a healthcare provider. based in Lavonia, Georgia. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 47994 (GA). The NPI Number for KIMBERLY M STROUD (MD) is 1407840879

Main info

Female
Name
KIMBERLY M STROUD (MD)
NPI
1407840879
Phone
(706) 356-1072
Address
12192 Augusta Rd
Enumeration Date
31 August 2005
Last Update Date
14 October 2020

Contacts

Secure Messaging
kstroud29518@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for KIMBERLY M STROUD (MD)

  • 12192 Augusta Rd

    Lavonia, GA 305531209

    Phone: (706) 356-1072

    Type: Location

  • 274 BIG A RD

    TOCCOA, GA 305776002

    Phone: (706) 886-8419

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $765.

Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($473).

Total Amount

$765

General + Research + Ownership

Payments

34

Total payment records

General Amount

$765

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2010-08-24

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
I20100824000764IPediatric MedicineGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30553)

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Reviews

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Frequently asked questions

How do payers reference KIMBERLY M STROUD (MD)?
For KIMBERLY M STROUD (MD), use NPI 1407840879 as the unique 10-digit identifier.
Active or inactive — what applies to KIMBERLY M STROUD (MD)?
You should see KIMBERLY M STROUD (MD) as active in CMS-hosted NPPES data.
How would a patient describe KIMBERLY M STROUD (MD)'s focus?
For KIMBERLY M STROUD (MD), the primary taxonomy reads as Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIMBERLY M STROUD (MD)?
Travel planning: use Lavonia, Georgia as the reference point for KIMBERLY M STROUD (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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