DR. DALE E DOUGLAS M.D.
NPI 1528056694
General Practice in Cookeville, TN
About Dr. Dale E Douglas M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DALE E DOUGLAS M.D. (NPI 1528056694) is an individual general practice provider in Cookeville, Tennessee, licensed in Tennessee (MD8036) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dale E Douglas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dale Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cookeville, TN 38501
- Reassigned Medicare billing, Tennessee enrollment
- 89 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COOKEVILLE, TN 38501
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 Dale Douglas's NPI number?
The NPI number for Dale Douglas is 1528056694. It was assigned to this individual provider in the NPPES registry on October 12, 2005.
Where is Dale Douglas located?
Dale Douglas practices at 701 County Services Dr, Cookeville, TN 38501. The listed phone number is (931) 528-2531.
What is Dale Douglas's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Dale Douglas enrolled in Medicare?
Yes. Dale Douglas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dale Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dale Douglas reassigns Medicare benefits to State Of Tennessee (Cookeville, TN). The 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 Dale Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dale Douglas was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Dale E Douglas, M.D. · NPI 1528056694
General Practice physician in Cookeville, Tennessee. Individual provider, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1528056694 (Entity type: Individual)
- **Enumerated:** October 12, 2005
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** MD8036 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 COUNTY SERVICES DR, Cookeville, TN 38501-4338
- **Phone:** (931) 528-2531 · **Fax:** (931) 526-7451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Tennessee (NPI 1598817017, Cookeville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1528056694) · Data from the CMS NPPES public registry.