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MISS KIARA CAMILA DOUGLAS PA-C
NPI 1073402707
Physician Assistant - Medical in Lynchburg, VA

Active since June 30, 2025PECOS EnrolledAccepts Medicare Assignment
2405 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 363-4133 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2026, Jun 30, 2025 (2 updates tracked since 2025).

About Miss Kiara Camila Douglas Pa-c NPPES

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

MISS KIARA CAMILA DOUGLAS PA-C (NPI 1073402707) is an individual medical provider in Lynchburg, Virginia, licensed in Virginia (0110011293) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073402707
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS KIARA CAMILA DOUGLASCredential: PA-C
Location Address2405 ATHERHOLT RDLynchburg, VA 24501-2184
Mailing Address1810 Broadway St Unit 102Lynchburg, VA 24501-5605 · (757) 748-9035
Phone(434) 363-4133
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 30, 2025
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1073402707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110011293
2405 ATHERHOLT RD, Lynchburg, VA 24501
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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

Miss Kiara Camila 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 ID8426538265
PECOS Enrollment IDI20260219001027
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.

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

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.

JOHN R PRAHINSKI MD
Orthopaedic Surgery
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500
ASHLEY ERIN HOATH D.P.T
Physical Therapist (Orthopedic)
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500
DAVID PUSKAS DPT
Physical Therapist (Orthopedic)
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8517
HARRY C ESCHENROEDER JR. MD
Orthopaedic Surgery
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500
CLARK GLOVER PT, DPT
Physical Therapist
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500
MATTHEW MURI P.A.
Physician Assistant
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500
ASHLEY N MOONEY OTR/L
Occupational Therapist
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8517
AMANDA R TATE P.T.
Physical Therapist (Orthopedic)
2405 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 485-8500

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 Kiara Douglas's NPI number?

The NPI number for Kiara Douglas is 1073402707. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Kiara Douglas located?

Kiara Douglas practices at 2405 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 363-4133.

What is Kiara Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kiara Douglas enrolled in Medicare?

Yes. Kiara 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.

Is Kiara Douglas affiliated with any hospitals?

According to CMS data, Kiara Douglas is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Kiara Douglas was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.