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DR. DALE E DOUGLAS M.D.
NPI 1528056694
General Practice in Cookeville, TN

Active since October 12, 2005PECOS Enrolled
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501(931) 528-2531(931) 526-7451 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1528056694
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DALE E DOUGLASCredential: M.D.
Location Address701 COUNTY SERVICES DRCookeville, TN 38501-4338
Mailing Address1100 England DrCookeville, TN 38501-0924 · (931) 528-7531 · Fax (931) 520-0413
Phone(931) 528-2531
Fax(931) 526-7451
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 8, 2018
✔ NPI 1528056694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · MD8036
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License MD 008036 (TN)
701 COUNTY SERVICES DR, Cookeville, TN 38501
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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. Dale E Douglas 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.

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.

HEATHER WILKEN RN
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
CECILE ANNE MARIE MULLER APN
Nurse Practitioner (Primary Care)
701 COUNTY SERVICES DR, PUTNAM COUNTY HEALTH DEPARTMENT
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
JULIE CALES LPN
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
DEANN M ROBERTS LPN
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
MRS. KRISTEN LEIGH REEVES RN
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
KRISTEN MICHELLE STANFORD
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
MARIA REGIS LPN
Licensed Practical Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531
MS. RACHEL MARIE ST. CHARLES
Registered Nurse
701 COUNTY SERVICES DR
COOKEVILLE, TN 38501
Putnam County (931) 528-2531

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.

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.