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MRS. CAMELLIA DOUGLAS PMHNP
NPI 1114445905
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since September 01, 2017PECOS EnrolledAccepts Medicare Assignment
8401 MEDICAL PLAZA DR STE 350, CHARLOTTE, NC 28262(877) 306-1683(980) 500-1522 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Apr 30, 2024, Apr 13, 2022 and 5 more (8 updates tracked since 2017).

About Mrs. Camellia Douglas Pmhnp NPPES

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

MRS. CAMELLIA DOUGLAS PMHNP (NPI 1114445905) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5009819) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114445905
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CAMELLIA DOUGLASCredential: PMHNP
Location Address8401 MEDICAL PLAZA DR STE 350Charlotte, NC 28262-8700
Mailing Address8401 Medical Plaza Dr Ste 350Charlotte, NC 28262-8700 · (877) 306-1683 · Fax (980) 500-1522
Phone(877) 306-1683
Fax(980) 500-1522
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 1, 2017
Last NPPES UpdateJune 3, 20268 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1114445905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5009819
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5009819 (NC)
8401 MEDICAL PLAZA DR STE 350, Charlotte, NC 28262
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Camellia Douglas Pmhnp 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 ID547535767
PECOS Enrollment IDI20171013000628
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Camellia Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mentable
Same address
Adult Mental Health
8401 MEDICAL PLAZA DR STE 350
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1609635895 (980) 223-4566
Mental Health Specialty Group PA
115 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 104 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Thriveworks Clinical - North Carolina PC
126 mi
Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group
NPI 1003303082 (919) 424-6045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%20 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
71%31 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MENTABLE
Clinic/Center (Adult Mental Health)
8401 MEDICAL PLAZA DR STE 350
CHARLOTTE, NC 28262
Mecklenburg County (980) 223-4566
TO & FROM TRANSPORT SERVICES AND SOLUTIONS LLC
Non-emergency Medical Transport (VAN)
8401 MEDICAL PLAZA DR STE 350
CHARLOTTE, NC 28262
Mecklenburg County (704) 231-8980

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 Camellia Douglas's NPI number?

The NPI number for Camellia Douglas is 1114445905. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Camellia Douglas located?

Camellia Douglas practices at 8401 Medical Plaza Dr Ste 350, Charlotte, NC 28262. The listed phone number is (877) 306-1683.

What is Camellia Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Camellia Douglas enrolled in Medicare?

Yes. Camellia 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.

Which organizations bill Medicare for Camellia Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camellia Douglas reassigns Medicare benefits to 3 organizations: Mentable (Charlotte, NC), Mental Health Specialty Group PA (Durham, NC) and Thriveworks Clinical - North Carolina PC (Raleigh, NC). Each 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 Camellia Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camellia Douglas accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Camellia 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 Camellia Douglas was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.