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DR. TIMOTHY DEEGAN DOUGLASS D.C.
NPI 1306913884
Chiropractor in Destin, FL

Active since November 29, 2006Accepts Medicare Assignment
4421 COMMONS DR E, SUITE B-105, DESTIN, FL 32541(850) 650-6789(850) 650-6790 Get Directions Write a Review

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy Deegan Douglass D.c. NPPES

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

DR. TIMOTHY DEEGAN DOUGLASS D.C. (NPI 1306913884) is an individual chiropractor in Destin, Florida, licensed in Florida (CH9683) and active in the NPI registry since November 2006. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1306913884
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY DEEGAN DOUGLASSCredential: D.C.
Location Address4421 COMMONS DR E, SUITE B-105Destin, FL 32541-3484
Mailing Address4421 Commons Dr E, Suite B-105Destin, FL 32541-3484 · (850) 650-6789 · Fax (850) 650-6790
Phone(850) 650-6789
Fax(850) 650-6790
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 29, 2006
Last NPPES UpdateDecember 10, 2009
✔ NPI 1306913884 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.
4421 COMMONS DR E, Destin, FL 32541
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Other Identifiers 4

Other0509581Y0NH01NH · Anthem Blue Crossblue Shi
Medicare ID-Type UnspecifiedRE6972NH
Other8516111NH · Cigna
Medicare ID-Type UnspecifiedRE3944NH

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

Dr. Timothy Deegan 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 ID3678543824
PECOS Enrollment IDI20111121000900

Areas of Expertise CMS Part B claims

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, 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.
487 services29 patients

Other Providers at the Same Location NPPES

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

MR. PETER O'FALLON JR. ATC/LAT
Specialist/Technologist (Athletic Trainer)
4421 COMMONS DR E, SUITE-B 108
DESTIN, FL 32541
Okaloosa County (850) 460-2588

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's NPI number?

The NPI number for Timothy Douglass is 1306913884. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Timothy Douglass located?

Timothy Douglass practices at 4421 Commons Dr E Suite B-105, Destin, FL 32541. The listed phone number is (850) 650-6789.

What is Timothy Douglass's specialty?

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

Is Timothy Douglass enrolled in Medicare?

Yes. Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Douglass was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.