DR. TRENT DENNISON DOUGLAS M.D.
NPI 1023176302
Surgery - Plastic and Reconstructive Surgery in Knoxville, TN

Active since December 05, 2006PECOS Enrolled
109 S NORTHSHORE DR STE 101, KNOXVILLE, TN 37919(865) 450-9253 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, Oct 3, 2022, Oct 25, 2019 (3 updates tracked since 2019).

About Dr. Trent Dennison Douglas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRENT DENNISON DOUGLAS M.D. (NPI 1023176302) is an individual plastic and reconstructive surgery provider in Knoxville, Tennessee, licensed in Tennessee (73580) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023176302
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. TRENT DENNISON DOUGLASCredential: M.D.
Location Address109 S NORTHSHORE DR STE 101Knoxville, TN 37919-4925
Mailing Address109 S Northshore Dr Ste 101Knoxville, TN 37919-4925 · (865) 450-9253
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1023176302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in TN · 73580
Definition

A surgeon who specializes in plastic and reconstructive surgery.

109 S NORTHSHORE DR STE 101, Knoxville, TN 37919

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Trent Dennison Douglas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trent Douglas's NPI number?

The NPI number for Trent Douglas is 1023176302. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Trent Douglas located?

Trent Douglas practices at 109 S Northshore Dr Ste 101, Knoxville, TN 37919. The listed phone number is (865) 450-9253.

What is Trent Douglas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Trent Douglas enrolled in Medicare?

Yes. Trent Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trent Douglas was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.