MICHELLE DOUGLAS PA-C
NPI 1346202595
Physician Assistant - Medical in Milton, FL

Active since April 04, 2006PECOS Enrolled
5825 HIGHWAY 90, MILTON, FL 32583(850) 266-3430(850) 626-3431 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Douglas Pa-c NPPES

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

MICHELLE DOUGLAS PA-C (NPI 1346202595) is an individual medical provider in Milton, Florida, licensed in Florida (PA 9105934) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pensacola.

NPPES Registry Identity

NPI1346202595
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE DOUGLASCredential: PA-C
Location Address5825 HIGHWAY 90Milton, FL 32583-1763
Mailing Address5776 Pebble Ridge DrMilton, FL 32583-2305 · (619) 723-0731
Fax(850) 626-3431
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateApril 18, 2019
NPI 1346202595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in FL · PA 9105934 Licensed in AZ · 5054
5825 HIGHWAY 90, Milton, FL 32583

Secondary Practice Location 1

Location 11100 Airport Blvd Ste BPensacola, FL 32504-8622 · Phone (850) 549-3379

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Douglas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
5825 HIGHWAY 90
MILTON, FL 32583

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 Michelle Douglas's NPI number?

The NPI number for Michelle Douglas is 1346202595. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Michelle Douglas located?

Michelle Douglas practices at 5825 Highway 90, Milton, FL 32583. The listed phone number is (850) 266-3430.

What is Michelle Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michelle Douglas enrolled in Medicare?

Yes. Michelle Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Douglas was last updated on April 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.