DR. JIMMIE L DOUGLASS III D.C.
NPI 1861679383
Chiropractor - Orthopedic in Neosho, MO
About Dr. Jimmie L Douglass Iii D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JIMMIE L DOUGLASS III D.C. (NPI 1861679383) is an individual orthopedic provider in Neosho, Missouri, licensed in Missouri (2008000770) and active in the NPI registry since January 2008. He is a graduate of Cleveland Chiropractic College - Kansas City (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jimmie L Douglass Iii D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jimmie Douglass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Neosho, MO 64850
- Reassigned Medicare billing, Missouri enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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 Jimmie Douglass's NPI number?
The NPI number for Jimmie Douglass is 1861679383. It was assigned to this individual provider in the NPPES registry on January 28, 2008.
Where is Jimmie Douglass located?
Jimmie Douglass practices at 317 S Wood St, Neosho, MO 64850. The listed phone number is (417) 451-1545.
What is Jimmie Douglass's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Orthopedic, with taxonomy code 111NX0800X.
Is Jimmie Douglass enrolled in Medicare?
Yes. Jimmie Douglass is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jimmie Douglass's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jimmie Douglass reassigns Medicare benefits to Douglass Chiropractic LLC (Neosho, MO). The 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 Jimmie Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jimmie Douglass was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.