DOUGLAS MEDICAL SPECIALIST
NPI 1154475085
Internal Medicine - Cardiovascular Disease in Douglas, GA

Active since January 22, 2007
200 DOCTORS DR STE 106, DOUGLAS, GA 31533(912) 384-3338(912) 383-6365 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Douglas Medical Specialist NPPES

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

DOUGLAS MEDICAL SPECIALIST (NPI 1154475085) is a healthcare organization registered as a cardiovascular disease in Douglas, Georgia and active in the NPI registry since January 2007. The organization lists Cindy Mcneil, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154475085
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDOUGLAS MEDICAL SPECIALIST
Location Address200 DOCTORS DR STE 106Douglas, GA 31533-2202
Mailing Address200 Doctors Dr Ste 106Douglas, GA 31533-2202 · (912) 384-3338 · Fax (912) 383-6365
Fax(912) 383-6365
Organization SubpartNo
Authorized OfficialCindy McneilOffice Manager · (912) 384-3338
Enumeration DateJanuary 22, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1154475085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 024996
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 038423 (GA), 053749 (GA), 056658 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN101998 (GA)
200 DOCTORS DR STE 106, Douglas, GA 31533

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Medical Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Douglas Medical Specialist, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Internal Medicine3
Family Practice2
Cardiovascular Disease (Cardiology)1

Clinicians, nearest first (12)

Internal Medicine
NPI 1225021678
200 DOCTORS DR SUITE 106
Douglas, GA 31533
(912) 384-3338
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053715573
200 DOCTORS DR STE 106
Douglas, GA 31533
(912) 384-3338
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205931672
200 DOCTORS DR SUITE 106
Douglas, GA 31533
(912) 384-3338
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285756163
200 DOCTORS DRIVE SUITE 106
Douglas, GA 31533
(912) 384-3338
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235508920
200 DOCTORS DR STE S
Douglas, GA 31533
(912) 292-0658
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427305507
200 DOCTORS DR SUITE 106
Douglas, GA 31533
(912) 384-3338
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1750374294
200 DOCTORS DR SUITE 106
Douglas, GA 31533
(912) 384-3338
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972667954
200 DOCTORS DR 106
Douglas, GA 31533
(912) 384-3338
✔ PECOSSame address
Nurse Practitioner
NPI 1447616461
300 SHIRLEY AVE
Douglas, GA 31533
(912) 384-7275
✔ PECOS0.5 mi
Internal Medicine
NPI 1326031865
2016 OCILLA RD
Douglas, GA 31533
(912) 384-4010
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1477833770
160 S FIRST AVE
Mc Rae, GA 31055
(731) 394-1145
✔ PECOS37 mi
Family Practice
NPI 1851332787
602 E 16TH AVE STE A&B
Cordele, GA 31015
(229) 513-0700
✔ PECOS✔ Accepts Medicare62 mi

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

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 Douglas Medical Specialist's NPI number?

The NPI number for Douglas Medical Specialist is 1154475085. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Douglas Medical Specialist located?

Douglas Medical Specialist is located at 200 Doctors Dr Ste 106, Douglas, GA 31533. The listed phone number is (912) 384-3338.

What is Douglas Medical Specialist's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Douglas Medical Specialist enrolled in Medicare?

Yes. Douglas Medical Specialist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas Medical Specialist?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Douglas Medical Specialist. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (3) and Family Practice (2). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Medical Specialist was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.