KIMBERLY M. DEVOLLD M.D. – NPI #1225028806
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KIMBERLY DEVOLLD is a physician located in JOHNS ISLAND, SC. NPPES has assigned the NPI number 1225028806 to KIMBERLY DEVOLLD on October 25, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KIMBERLY S ROHALEY. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jul 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY DEVOLLD below.

NPI Profile for
KIMBERLY M. DEVOLLD

NPI Number
1225028806
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIMBERLY M. DEVOLLD
Former Name: KIMBERLY S ROHALEY
Credentials
M.D.
Primary location
2754 MAYBANK HWY STE B
JOHNS ISLAND, SC 29455-4809
Phone: (843) 996-4908 Fax: (843) 962-5450
3 Other location(s):
776 Daniel Ellis Dr Ste A
Charleston, SC 29412-3094
Phone: (843) 795-8100
9165 University Blvd Ste 100
North Charleston, SC 29406-7133
Phone: (843) 284-4255
2321 Wards Rd
Lynchburg, VA 24502-2101
Phone: (434) 582-2273
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIMBERLY DEVOLLD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL266627800
MEDICAIDOH2029012
MEDICAIDSC406340
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
SC MD40634
2080B0002X
- Pediatrics / Obesity Medicine
VA 0101241911
208000000X
- Pediatrics
TN 43204
173000000X
- Legal Medicine
FL ME86723

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.