ERIC MCDOUGLE P.A.
NPI 1952671349
Physician Assistant - Medical in St Petersburg, FL

Q: What is Eric Mcdougle's NPI number?

The NPI number for Eric Mcdougle is 1952671349. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Q: What is Eric Mcdougle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Eric Mcdougle enrolled in Medicare?

No. Eric Mcdougle has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Eric Mcdougle was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 03, 2012Opted out of Medicare · through Jul 1, 2027

4260 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 339-5496(727) 361-6247 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 25, 2025, Apr 7, 2021 (2 updates tracked since 2021).

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About Eric Mcdougle P.a. NPPES

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

ERIC MCDOUGLE P.A. (NPI 1952671349) is an individual medical provider in St Petersburg, Florida, licensed in Florida (PA9106339) and active in the NPI registry since January 2012. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952671349

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameERIC MCDOUGLECredential: P.A.

Location Address4260 CENTRAL AVESt Petersburg, FL 33711-1140

Mailing Address4260 Central AveSt Petersburg, FL 33711-1140 · (727) 339-5496 · Fax (727) 361-6247

Phone(727) 339-5496

Fax(727) 361-6247

Sole ProprietorNo

Enumeration DateJanuary 3, 2012

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1952671349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9106339

4260 CENTRAL AVE, St Petersburg, FL 33711

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Eric Mcdougle P.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

TANNELLE MCDOUGLE PA

Physician Assistant (Medical)

4260 CENTRAL AVE
ST PETERSBURG, FL 33711

Pinellas County (727) 339-5496

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 Eric Mcdougle's NPI number?

The NPI number for Eric Mcdougle is 1952671349. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is Eric Mcdougle located?

Eric Mcdougle practices at 4260 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 339-5496.

What is Eric Mcdougle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eric Mcdougle enrolled in Medicare?

No. Eric Mcdougle has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eric Mcdougle was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.