1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

DOUGLAS CLAUDE APPLEBY JR. M.D.
NPI 1275581720
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jackson, TN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
329 COATSLAND DR, JACKSON, TN 38301(731) 424-5080(731) 424-4109 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas Claude Appleby Jr. M.d. NPPES

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

DOUGLAS CLAUDE APPLEBY JR. M.D. (NPI 1275581720) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Jackson, Tennessee, licensed in Tennessee (51126) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1275581720
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDOUGLAS CLAUDE APPLEBY JR.Credential: M.D.
Location Address329 COATSLAND DRJackson, TN 38301-3912
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(731) 424-5080
Fax(731) 424-4109
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1983
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1275581720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in TN · 51126✔ Licensed in KY · 23457✔ Licensed in SC · 14891
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
329 COATSLAND DR, Jackson, TN 38301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1890 W Faris Rd Ste 550Greenville, SC 29605-4286 · Phone (864) 455-6800 · Fax (864) 455-3825

Other Identifiers 2

MedicaidQ004585TN
MedicaidTL2704SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross Blue Shield of North Dakota.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

Douglas Claude Appleby Jr. M.d. 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 ID8426184227
PECOS Enrollment IDI20100331000798, I20250428003372
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

2

Medicare enrollment records show Douglas Appleby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ghs Partners In Health, Inc.
338 mi
Urology
135 PROFESSIONAL PARK DR
Seneca, SC 29678
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health University Medical Group
  • 3,281 clinicians in this Medicare group
NPI 1457730814 (864) 882-5306
Phoebe Gastroenterology Associates
384 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669

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

Hospital Affiliations CMS Care Compare

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

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTHUR GRIMBALL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
329 COATSLAND DR
JACKSON, TN 38301
Madison County (731) 424-5080
ALANSON R SPALDING III M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
329 COATSLAND DR
JACKSON, TN 38301
Madison County (731) 424-5080
CARDIOTHORACIC SURGERY CENTER, P.L.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
329 COATSLAND DR
JACKSON, TN 38301
Madison County (731) 424-5080
JANET W. POWELL NP
Nurse Practitioner (Family)
329 COATSLAND DR
JACKSON, TN 38301
Madison County (731) 425-5080
DR. ERIC M. SIEVERS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
329 COATSLAND DR
JACKSON, TN 38301
Madison County (731) 424-5080

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 Appleby's NPI number?

The NPI number for Douglas Appleby is 1275581720. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Douglas Appleby located?

Douglas Appleby practices at 329 Coatsland Dr, Jackson, TN 38301. The listed phone number is (731) 424-5080.

What is Douglas Appleby's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Douglas Appleby enrolled in Medicare?

Yes. Douglas Appleby 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 Douglas Appleby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Appleby reassigns Medicare benefits to 2 organizations: Ghs Partners In Health, Inc. (Seneca, SC) and Phoebe Gastroenterology Associates (Albany, GA). 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 Douglas Appleby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Appleby accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross Blue Shield of North Dakota list Douglas Appleby 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.

Is Douglas Appleby affiliated with any hospitals?

According to CMS data, Douglas Appleby is affiliated with Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Appleby was last updated on July 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.