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FREDERICK G DOUGLAS MD
NPI 1922040955
Family Medicine in Easley, SC

Active since June 12, 2006
106 JOHN STREET, EASLEY, SC 29640(864) 859-2220(864) 859-5744 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick G Douglas Md NPPES

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

FREDERICK G DOUGLAS MD (NPI 1922040955) is an individual family medicine provider in Easley, South Carolina, licensed in South Carolina (5691) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1922040955
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDERICK G DOUGLASCredential: MD
Location Address106 JOHN STREETEasley, SC 29640-1415
Mailing AddressPo Box 2089Easley, SC 29641-2089 · (864) 855-5104 · Fax (864) 859-9362
Phone(864) 859-2220
Fax(864) 859-5744
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 10, 2010
✔ NPI 1922040955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 5691
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
106 JOHN STREET, Easley, SC 29640
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Other Identifiers 6

Medicare PIND908156202SC
Medicaid056913SC
Medicare PIND908159367SC
Medicare UPIND90815SC
Other582296052055SC · Blue Cross
Medicaid134768SC

Other Providers at the Same Location NPPES 3

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

PALMETTO HEALTH
Family Medicine
106 JOHN STREET
EASLEY, SC 29640
Pickens County (864) 859-2220
BAPTIST EASLEY HOSPITAL
Family Medicine
106 JOHN STREET
EASLEY, SC 29640
Pickens County (864) 442-7557
PALMETTO HEALTH ALLIANCE
Durable Medical Equipment & Medical Supplies
106 JOHN STREET
EASLEY, SC 29640
Pickens County (864) 859-2220

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 Frederick Douglas's NPI number?

The NPI number for Frederick Douglas is 1922040955. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Frederick Douglas located?

Frederick Douglas practices at 106 John Street, Easley, SC 29640. The listed phone number is (864) 859-2220.

What is Frederick Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Frederick Douglas was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.