Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Jaye McIntosh, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1083633101

Kimberly Jaye McIntosh, MD is an Obstetrics/Gynecology in Stockbridge, Georgia. Graduated from Columbia University College of Physicians and Surgeons in 1998, 28 years ago. Practices with Serena D. Tidwell, MD, PC, a 16-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 Eagles Landing Pkwy #302
Stockbridge, GA 30281
Phone: (770) 474-0064
Fax: (770) 474-2998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 053808 (GA)

Record details

NPI number1083633101
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1050 Eagles Landing Pkwy, 302, Stockbridge, GA 30281

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1998 (28 years in practice)
Group practice Serena D. Tidwell, M.D., P.C. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stockbridge