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GERSHOM JACOB DOUGLAS APNP
NPI 1902568942
Nurse Practitioner in Gaffney, SC

Active since October 07, 2021PECOS EnrolledAccepts Medicare Assignment
1506 N LIMESTONE ST STE B, GAFFNEY, SC 29340(864) 489-4498 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, Jul 27, 2022, Oct 7, 2021 (3 updates tracked since 2021).

About Gershom Jacob Douglas Apnp NPPES

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

GERSHOM JACOB DOUGLAS APNP (NPI 1902568942) is an individual nurse practitioner in Gaffney, South Carolina, licensed in South Carolina (27568) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902568942
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGERSHOM JACOB DOUGLASCredential: APNP
Location Address1506 N LIMESTONE ST STE BGaffney, SC 29340-4747
Mailing Address1506 N Limestone St Ste BGaffney, SC 29340-4747 · (864) 489-4498 · Fax (803) 328-3806
Phone(864) 489-4498
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2021
Last NPPES UpdateSeptember 14, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1902568942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in SC · 27568✔ Licensed in WI · 1135733
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1506 N LIMESTONE ST STE B, Gaffney, SC 29340
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Gershom Jacob Douglas Apnp 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.

PECOS PAC ID1658753538
PECOS Enrollment IDI20240313000122
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29340 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gershom Douglas's NPI number?

The NPI number for Gershom Douglas is 1902568942. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Gershom Douglas located?

Gershom Douglas practices at 1506 N Limestone St Ste B, Gaffney, SC 29340. The listed phone number is (864) 489-4498.

What is Gershom Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gershom Douglas enrolled in Medicare?

Yes. Gershom 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 Gershom Douglas accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Gershom 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 Gershom Douglas was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.