DR. JOHN PHILIP DOUGLAS MD
NPI 1093447153
Student in an Organized Health Care Education/Training Program in Columbus, GA

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
2122 MANCHESTER EXPY, COLUMBUS, GA 31904(706) 596-4456(706) 596-4457 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Philip Douglas Md NPPES

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

DR. JOHN PHILIP DOUGLAS MD (NPI 1093447153) is an individual student in an organized health care education/training program in Columbus, Georgia and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Parkwest Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093447153
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN PHILIP DOUGLASCredential: MD
Location Address2122 MANCHESTER EXPYColumbus, GA 31904-6878
Mailing Address2122 Manchester ExpyColumbus, GA 31904-6878 · (706) 596-4456 · Fax (706) 596-4457
Fax(706) 596-4457
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
NPI 1093447153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2122 MANCHESTER EXPY, Columbus, GA 31904

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

Dr. John Philip Douglas Md 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 ID6901303312
PECOS Enrollment IDI20251009004116
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.

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox 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.

Registered Nurse
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Internal Medicine (Pulmonary Disease)
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Anesthesiologist Assistant
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Pharmacist
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Nurse Practitioner (Family)
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
Student in an Organized Health Care Education/Training Program
2122 MANCHESTER EXPY, ATTN: MED STAFFING/GME
COLUMBUS, GA 31904
Physician Assistant
2122 MANCHESTER EXPY
COLUMBUS, GA 31904
General Acute Care Hospital
2122 MANCHESTER EXPY
COLUMBUS, GA 31904

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 John Douglas's NPI number?

The NPI number for John Douglas is 1093447153. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is John Douglas located?

John Douglas practices at 2122 Manchester Expy, Columbus, GA 31904. The listed phone number is (706) 596-4456.

What is John Douglas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Douglas enrolled in Medicare?

Yes. John 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 John Douglas affiliated with any hospitals?

According to CMS data, John Douglas is affiliated with Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for John Douglas was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.