DR. BETHANY ANN DOUGLAS D.M.D.
NPI 1437484128
Dentist - Endodontics in Jacksonville, FL

Q: What is Bethany Douglas's NPI number?

The NPI number for Bethany Douglas is 1437484128. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Q: What is Bethany Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Douglas was last updated on February 3, 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.

Active since October 14, 2009PECOS Enrolled

9109 BAYMEADOWS RD STE 2, JACKSONVILLE, FL 32256(904) 265-1242 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Bethany Ann Douglas D.m.d. NPPES

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

DR. BETHANY ANN DOUGLAS D.M.D. (NPI 1437484128) is an individual endodontics provider in Jacksonville, Florida, licensed in Florida (DN19093) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437484128

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameDR. BETHANY ANN DOUGLASCredential: D.M.D.

Location Address9109 BAYMEADOWS RD STE 2Jacksonville, FL 32256-1842

Mailing Address1060 Oakvale RdSt Johns, FL 32259-3823 · (904) 671-3799

Phone(904) 265-1242

Sole ProprietorNo

Enumeration DateOctober 14, 2009

Last NPPES UpdateFebruary 3, 2022

NPPES CertifiedFebruary 3, 2022

✔ NPI 1437484128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Licenses✔ Licensed in FL · DN19093✔ Licensed in GA · DN014001

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

9109 BAYMEADOWS RD STE 2, Jacksonville, FL 32256

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bethany Ann Douglas D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Bethany Douglas's NPI number?

The NPI number for Bethany Douglas is 1437484128. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Bethany Douglas located?

Bethany Douglas practices at 9109 Baymeadows Rd Ste 2, Jacksonville, FL 32256. The listed phone number is (904) 265-1242.

What is Bethany Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Bethany Douglas enrolled in Medicare?

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

What insurance does Bethany Douglas accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Bethany Douglas 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 Bethany Douglas was last updated on February 3, 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.