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DR. MARK STEPHEN DOUGLAS M.D.
NPI 1649335118
Dermatology in Jacksonville, FL

Active since December 26, 2006PECOS Enrolled
2080 CHILD ST, DEPARTMENT OF DERMATOLOGY - NAVAL HOSPITAL JACKSONVILLE, JACKSONVILLE, FL 32214(904) 542-7912(904) 542-7917 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Stephen Douglas M.d. NPPES

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

DR. MARK STEPHEN DOUGLAS M.D. (NPI 1649335118) is an individual dermatology provider in Jacksonville, Florida, licensed in Virginia (0101242719) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649335118
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARK STEPHEN DOUGLASCredential: M.D.
Location Address2080 CHILD ST, DEPARTMENT OF DERMATOLOGY - NAVAL HOSPITAL JACKSONVILLEJacksonville, FL 32214-5005
Mailing Address700 S Quail CirAnaheim, CA 92807-4428 · (904) 542-7912 · Fax (904) 542-7917
Phone(904) 542-7912
Fax(904) 542-7917
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1649335118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in VA · 0101242719
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2080 CHILD ST, Jacksonville, FL 32214
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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. Mark Stephen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 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.

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.

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Mark Douglas's NPI number?

The NPI number for Mark Douglas is 1649335118. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Mark Douglas located?

Mark Douglas practices at 2080 Child St Department Of Dermatology - Naval Hospital Jacksonville, Jacksonville, FL 32214. The listed phone number is (904) 542-7912.

What is Mark Douglas's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Douglas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Douglas was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.