MICHELLA GLENNA DOUGLAS PA-C
NPI 1053949586
Physician Assistant in Germantown, TN

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138(901) 759-3100 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Oct 14, 2022, Jan 19, 2022 and 3 more (6 updates tracked since 2020).

About Michella Glenna Douglas Pa-c NPPES

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

MICHELLA GLENNA DOUGLAS PA-C (NPI 1053949586) is an individual physician assistant in Germantown, Tennessee, licensed in Tennessee (4234) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053949586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLA GLENNA DOUGLASCredential: PA-C
Location Address1400 S GERMANTOWN RDGermantown, TN 38138-2205
Mailing Address1400 S Germantown RdGermantown, TN 38138-2205 · (901) 759-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateMay 4, 20236 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1053949586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 4234
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4234 (TN)
1400 S GERMANTOWN RD, Germantown, TN 38138

Secondary Practice Location 1

Location 16025 Walnut Grove Rd Ste 301Memphis, TN 38120-2123 · Phone (901) 226-0456 · Fax (901) 226-0458

Other Identifiers 2

Medicaid09376398MS
MedicaidQ069916TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michella Glenna Douglas Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254739485
PECOS Enrollment IDI20211001001746, I20220318000126
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.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
809 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services130 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services94 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
115 services60 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
107 services71 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
84 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.72
Promoting Interoperability90
Improvement Activities40
Cost60.14

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Orthopaedic Surgery
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Orthopaedic Surgery
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Specialist/Technologist (Athletic Trainer)
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Physician Assistant
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Physical Therapist
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Orthopaedic Surgery (Foot and Ankle Surgery)
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Family Medicine (Sports Medicine)
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138

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 Michella Douglas's NPI number?

The NPI number for Michella Douglas is 1053949586. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Michella Douglas located?

Michella Douglas practices at 1400 S Germantown Rd, Germantown, TN 38138. The listed phone number is (901) 759-3100.

What is Michella Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michella Douglas enrolled in Medicare?

Yes. Michella Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michella Douglas accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Michella Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michella Douglas was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.