MORIAH NICOLE DOUGLAS
NPI 1083534705
Speech-Language Pathologist in Jacksonville, FL
About Moriah Nicole Douglas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MORIAH NICOLE DOUGLAS (NPI 1083534705) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (23501) and active in the NPI registry since July 2026. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moriah Nicole Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Moriah Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32218
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32202
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 Moriah Douglas's NPI number?
The NPI number for Moriah Douglas is 1083534705. It was assigned to this individual provider in the NPPES registry on July 21, 2026.
Where is Moriah Douglas located?
Moriah Douglas practices at 220 Riverside Ave, Jacksonville, FL 32202. The listed phone number is (850) 454-5444.
What is Moriah Douglas's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Moriah Douglas enrolled in Medicare?
Yes. Moriah Douglas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Moriah Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moriah Douglas reassigns Medicare benefits to Empowered Voice Rehabilitation LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Moriah Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Moriah Douglas was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.
# Moriah Nicole Douglas · NPI 1083534705
Speech-Language Pathologist provider in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since July 21, 2026.
## Identity
- **NPI:** 1083534705 (Entity type: Individual)
- **Enumerated:** July 21, 2026
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 23501 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 RIVERSIDE AVE, Jacksonville, FL 32202-4964
- **Phone:** (850) 454-5444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Empowered Voice Rehabilitation LLC (NPI 1790420198, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083534705) · Data from the CMS NPPES public registry.