David Kenneth Doty, MD - Radiology in Tifton, GA

David Kenneth Doty, MD is a Radiology - Diagnostic Radiology physician based in Tifton, Georgia. David Kenneth Doty is licensed to practice in Georgia (license number 049006) and his current practice location is 4706 Woodland Dr E, Tifton, Georgia. He can be reached at his office (for appointments etc.) via phone at (952) 595-1100.

NPI number for David Kenneth Doty is 1902899149 and his current mailing address is 11995 Singletree Ln, Suite 500, Eden Prairie, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902899149.

Contact Information

David Kenneth Doty, MD
4706 Woodland Dr E,
Tifton, GA 31794-2303
(952) 595-1100
(952) 942-3361



Physician's Profile

Full NameDavid Kenneth Doty
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location4706 Woodland Dr E, Tifton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902899149
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 04/19/2011

Medical Identifiers

Medical identifiers for David Kenneth Doty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902899149NPI-NPPES
3323297OtherKYMEDICARE 855R
91716OtherKYSIHO-KCR
64129620MedicaidKY
00875641AMedicaidGA
3427936000OtherKYPASSPORT ADVANTAGE
010348293MedicaidVA
102112303MedicaidPA
50017681OtherKYPASSPORT-KCR
000000548193OtherKYANTHEM-KCR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 049006 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kenneth Doty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Kenneth Doty, MD
11995 Singletree Ln, Suite 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1100
David Kenneth Doty, MD
4706 Woodland Dr E,
Tifton, GA 31794-2303

Ph: (952) 595-1100

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Radiology Doctors in Tifton, GA

Raymond C Evans, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 912-287-1515    Fax: 912-287-1394
Wesley W Walker, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1623 Madison Ave, Tifton, GA 31794
Phone: 229-386-1300    
Kelley P Douglas, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 912-287-1515    Fax: 912-287-1394
Patrick T Crimmins, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794
Phone: 229-391-4100    Fax: 229-391-4508
Robin A Stoecker, D.O.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 912-287-1515    Fax: 912-287-1394
Wayne T Stewart, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 912-287-1515    Fax: 912-287-1394

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