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KELLY T DOUGLASS D.C.
NPI 1275822074
Chiropractor in Northport, AL

Active since April 01, 2011Accepts Medicare Assignment
3689 WATERMELON RD, NORTHPORT, AL 35473(205) 758-1600(205) 758-6698 Get Directions Write a Review

NPPES record last updated: August 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly T Douglass D.c. NPPES

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

KELLY T DOUGLASS D.C. (NPI 1275822074) is an individual chiropractor in Northport, Alabama, licensed in Alabama (2335) and active in the NPI registry since April 2011. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2011).

NPPES Registry Identity

NPI1275822074
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKELLY T DOUGLASSCredential: D.C.
Location Address3689 WATERMELON RDNorthport, AL 35473-5139
Mailing Address3689 Watermelon RdNorthport, AL 35473-5139 · (205) 758-1600 · Fax (205) 758-6698
Phone(205) 758-1600
Fax(205) 758-6698
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2011
Enumeration DateApril 1, 2011
Last NPPES UpdateAugust 6, 2011
✔ NPI 1275822074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in AL · 2335✔ Licensed in TN · 2508
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3689 WATERMELON RD, Northport, AL 35473
Open in Google Maps ↗

Other Identifiers 1

Other4296256TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Providence Health Plan, UnitedHealthcare.Insurance ›

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

Kelly T Douglass D.c. 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 ID9638356793
PECOS Enrollment IDI20111025000379

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
140 services15 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
99 services19 patients

Other Providers at the Same Location NPPES 3

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

DR. JERRY L CONWAY DC
Chiropractor
3689 WATERMELON RD, CAPSTONE CHIROPRACTIC CENTER
NORTHPORT, AL 35473
Tuscaloosa County (205) 758-1600
CAPSTONE CHIROPRACTIC CENTER, P.C.
Chiropractor
3689 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 758-1600
KAREN BROWN D.C.
Chiropractor
3689 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 758-1600

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 Kelly Douglass's NPI number?

The NPI number for Kelly Douglass is 1275822074. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Kelly Douglass located?

Kelly Douglass practices at 3689 Watermelon Rd, Northport, AL 35473. The listed phone number is (205) 758-1600.

What is Kelly Douglass's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kelly Douglass enrolled in Medicare?

Yes. Kelly Douglass 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.

What insurance does Kelly Douglass accept?

Health plans from Blue Cross and Blue Shield of Alabama, Providence Health Plan and UnitedHealthcare list Kelly Douglass 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 Kelly Douglass was last updated on August 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.