1. Home
  2. Directory
  3. Georgia
  4. Smyrna
  5. Internal Medicine
  6. NPI Profile

PAUL LAWRENCE DOUGLASS M.D.
NPI 1063406262
Internal Medicine - Interventional Cardiology in Smyrna, GA

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
4441 ATLANTA RD SE STE 213, SMYRNA, GA 30080(470) 956-9480 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2022, Oct 9, 2019, Feb 12, 2018 (3 updates tracked since 2018).

About Paul Lawrence Douglass M.d. NPPES

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

PAUL LAWRENCE DOUGLASS M.D. (NPI 1063406262) is an individual interventional cardiology provider in Smyrna, Georgia, licensed in Georgia (019205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Meharry Medical College School Of Medicine (1976).

NPPES Registry Identity

NPI1063406262
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePAUL LAWRENCE DOUGLASSCredential: M.D.
Location Address4441 ATLANTA RD SE STE 213Smyrna, GA 30080-6442
Mailing Address4441 Atlanta Rd Se Ste 213Smyrna, GA 30080-6442 · (470) 956-9480
Phone(470) 956-9480
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1976
Enumeration DateSeptember 2, 2005
Last NPPES UpdateOctober 31, 20223 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1063406262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in GA · 019205
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 019205 (GA)
4441 ATLANTA RD SE STE 213, Smyrna, GA 30080
Open in Google Maps ↗

Other Identifiers 2

Other060017368/CM0845GA · Railroad Medicare
Medicaid00241788AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Paul Lawrence Douglass M.d. 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 ID3375623424
PECOS Enrollment IDI20110526000076
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 9

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.

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.
394 services209 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
252 services189 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
43 services42 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.
34 services33 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
31 services14 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KAUSHANG A GANDHI MD
Internal Medicine (Cardiovascular Disease)
4441 ATLANTA RD SE STE 213
SMYRNA, GA 30080
Cobb County (470) 956-9480
SHEILA ANN ROBINSON M.D.
Internal Medicine (Cardiovascular Disease)
4441 ATLANTA RD SE STE 213
SMYRNA, GA 30080
Cobb County (470) 956-9480

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 Paul Douglass's NPI number?

The NPI number for Paul Douglass is 1063406262. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Paul Douglass located?

Paul Douglass practices at 4441 Atlanta Rd SE Ste 213, Smyrna, GA 30080. The listed phone number is (470) 956-9480.

What is Paul Douglass's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paul Douglass enrolled in Medicare?

Yes. Paul Douglass 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 Paul Douglass accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Paul Douglass 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.

Is Paul Douglass affiliated with any hospitals?

According to CMS data, Paul Douglass is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Paul Douglass was last updated on October 31, 2022. 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.