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DOUGLAS MEDICAL & SURGICAL GROUP, PC
NPI 1710205927
General Practice in Douglas, GA

Active since May 12, 2010CLIA 11D0265316 · Waiver
203 SHIRLEY AVE, DOUGLAS, GA 31533(912) 384-7300(912) 384-5941 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Douglas Medical & Surgical Group, Pc NPPES

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

DOUGLAS MEDICAL & SURGICAL GROUP, PC (NPI 1710205927) is a healthcare organization registered as a general practice in Douglas, Georgia and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists William Charles Miller, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1710205927
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDOUGLAS MEDICAL & SURGICAL GROUP, PC
Location Address203 SHIRLEY AVEDouglas, GA 31533-2327
Mailing Address203 Shirley AveDouglas, GA 31533-2327 · (912) 384-7300 · Fax (912) 384-5941
Phone(912) 384-7300
Fax(912) 384-5941
Organization SubpartNo
Authorized OfficialWilliam Charles MillerC.e.o. · (912) 384-7300
Enumeration DateMay 12, 2010
Last NPPES UpdateApril 24, 2020
NPPES CertifiedApril 24, 2020
✔ NPI 1710205927 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 GA · 024302
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 024302 (GA)
203 SHIRLEY AVE, Douglas, GA 31533
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0265316

Douglas Medical & Surgical Group PC · Douglas, GA
Active · expires Mar 20, 2028
CLIA Number11D0265316
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorWilliam C. Miller MD
Laboratory Phone(912) 384-7300
Laboratory LocationDouglas Medical & Surgical Group PC203 South Shirley St, Douglas, GA 31533
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TONYA LEE SUMNER FNP-C
Nurse Practitioner (Family)
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300
ABIGAIL MILLER FAMILY MEDICINE INC.
Family Medicine
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300
WILLIAM CHARLES MILLER JR. M.D.
General Practice
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300
ABIGAIL MILLER MD
Family Medicine
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300

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 Medical & Surgical Group, PC's NPI number?

The NPI number for Douglas Medical & Surgical Group, PC is 1710205927. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Douglas Medical & Surgical Group, PC located?

Douglas Medical & Surgical Group, PC is located at 203 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 384-7300.

What is Douglas Medical & Surgical Group, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Douglas Medical & Surgical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0265316) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Douglas Medical & Surgical Group, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Douglas Medical & Surgical Group, PC 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 Douglas Medical & Surgical Group, PC was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.