KENDRA MIMS DOUGLAS DO
NPI 1710627336
Emergency Medicine in Birmingham, AL
About Kendra Mims Douglas Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA MIMS DOUGLAS DO (NPI 1710627336) is an individual emergency medicine provider in Birmingham, Alabama, licensed in Alabama (3470) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kendra Mims Douglas Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kendra Douglas's NPI number?
The NPI number for Kendra Douglas is 1710627336. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Kendra Douglas located?
Kendra Douglas practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.
What is Kendra Douglas's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kendra Douglas enrolled in Medicare?
Yes. Kendra Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kendra Douglas accept?
Health plans from Blue Cross and Blue Shield of Alabama list Kendra Douglas 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 Kendra Douglas was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kendra Mims Douglas, DO · NPI 1710627336
Emergency Medicine physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1710627336 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 3470 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 619 19TH ST S, Birmingham, AL 35233-1900
- **Phone:** (205) 934-4011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Alabama College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** May 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710627336) · Data from the CMS NPPES public registry.