DOUGLAS VASCULAR CENTER, LLC
NPI 1619244555
Clinic/Center - Medical Specialty in Douglas, GA

Active since November 21, 2011
326 SHIRLEY AVE, DOUGLAS, GA 31533(727) 474-0090 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas Vascular Center, Llc NPPES

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

DOUGLAS VASCULAR CENTER, LLC (NPI 1619244555) is a healthcare organization registered as a medical specialty in Douglas, Georgia and active in the NPI registry since November 2011. The organization lists Janet R Dees, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1619244555
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDOUGLAS VASCULAR CENTER, LLC
Location Address326 SHIRLEY AVEDouglas, GA 31533-2332
Mailing Address3001 Palm Harbor Blvd Ste APalm Harbor, FL 34683-1930 · (727) 474-0090 · Fax (727) 474-0055
Organization SubpartNo
Authorized OfficialJanet R DeesManaging Member · (727) 474-0090
Enumeration DateNovember 21, 2011
Last NPPES UpdateApril 6, 2018
✔ NPI 1619244555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · 11081332
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
326 SHIRLEY AVE, Douglas, GA 31533

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Vascular Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Douglas Vascular Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1447641048
326 SHIRLEY AVENUE
Douglas, GA 31533
(912) 384-0322
✔ PECOSSame address
General Surgery
NPI 1497722193
1007 GREENFIELD DR
Tifton, GA 31794
(229) 382-9733
✔ PECOS✔ Accepts Medicare37 mi
Vascular Surgery
NPI 1710920657
4519 WOODRUFF RD STE 17
Columbus, GA 31904
(706) 221-8999
✔ PECOS✔ Accepts Medicare141 mi
General Surgery
NPI 1003883612
5149 N 9TH AVE STE 120
Pensacola, FL 32504
(850) 479-1805
✔ PECOS✔ Accepts Medicare268 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Douglas Vascular Center, LLC's NPI number?

The NPI number for Douglas Vascular Center, LLC is 1619244555. It was assigned to this organization in the NPPES registry on November 21, 2011.

Where is Douglas Vascular Center, LLC located?

Douglas Vascular Center, LLC is located at 326 Shirley Ave, Douglas, GA 31533. The listed phone number is (727) 474-0090.

What is Douglas Vascular Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Douglas Vascular Center, LLC enrolled in Medicare?

Yes. Douglas Vascular Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas Vascular Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Douglas Vascular Center, LLC, in General Surgery, Nurse Practitioner and Vascular Surgery. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Vascular Center, LLC was last updated on April 6, 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.