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DOUGLASS CHIROPRACTIC
NPI 1275857385
Chiropractor in Deston, FL

Active since March 18, 2010
4221 COMMONS DR EAST, STE B-105, DESTON, FL 32541(850) 650-6789(850) 650-6790 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Douglass Chiropractic NPPES

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

DOUGLASS CHIROPRACTIC (NPI 1275857385) is a healthcare organization registered as a chiropractor in Deston, Florida and active in the NPI registry since March 2010. The organization lists Timothy D Douglass, President, as its authorized official.

NPPES Registry Identity

NPI1275857385
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTIMOTHY DOUGLASS DC PA
Location Address4221 COMMONS DR EAST, STE B-105Deston, FL 32541-3483
Mailing Address4421 Commons Dr E, # B-105Destin, FL 32541-3484 · (850) 650-6789 · Fax (850) 650-6790
Phone(850) 650-6789
Fax(850) 650-6790
Organization SubpartNo
Authorized OfficialTimothy D DouglassPresident · (850) 650-6789
Enumeration DateMarch 18, 2010
Last NPPES UpdateNovember 3, 2011
✔ NPI 1275857385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH9683
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.
4221 COMMONS DR EAST, Deston, FL 32541
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Other Names 1

Doing Business AsDouglass Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Douglass Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Douglass Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Douglass, D.C.
Chiropractic
NPI 1306913884
4421 COMMONS DR E SUITE B-105
Destin, FL 32541
(850) 650-6789
✔ Accepts Medicare0.1 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 Timothy Douglass Dc PA's NPI number?

The NPI number for Timothy Douglass Dc PA is 1275857385. It was assigned to this organization in the NPPES registry on March 18, 2010. The provider is doing business as Douglass Chiropractic.

Where is Timothy Douglass Dc PA located?

Timothy Douglass Dc PA is located at 4221 Commons Dr East Ste B-105, Deston, FL 32541. The listed phone number is (850) 650-6789.

What is Timothy Douglass Dc PA's specialty?

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

Is Timothy Douglass Dc PA enrolled in Medicare?

Yes. Timothy Douglass Dc PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timothy Douglass Dc PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Timothy Douglass Dc PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Douglass Dc PA was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.