JAMES T DOUGLAS MD
NPI 1962489732
Family Medicine in Rome, GA

Q: What is James Douglas's NPI number?

The NPI number for James Douglas is 1962489732. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is James Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Douglas was last updated on April 11, 2024. 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.

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment

15 RIVERBEND DR SW, STE 100 & 200, ROME, GA 30161(706) 291-0884(706) 235-0405 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James T Douglas Md NPPES

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

JAMES T DOUGLAS MD (NPI 1962489732) is an individual family medicine provider in Rome, Georgia, licensed in Georgia (033569) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1989).

NPPES Registry Identity

NPI1962489732

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES T DOUGLASCredential: MD

Location Address15 RIVERBEND DR SW, STE 100 & 200Rome, GA 30161-6065

Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3278

Phone(706) 291-0884

Fax(706) 235-0405

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1989

Enumeration DateDecember 22, 2005

Last NPPES UpdateApril 11, 2024

NPPES CertifiedApril 11, 2024

✔ NPI 1962489732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 033569

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.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 033569 (GA)

15 RIVERBEND DR SW, Rome, GA 30161

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

James T Douglas Md 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 ID6709830318

PECOS Enrollment IDI20100618000355

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 12

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.

191 services94 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

106 services70 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

96 services25 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

86 services86 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

48 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services16 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

17 services17 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

13 services13 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

13 services13 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

13 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110054

Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30161 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers23 claims74 services$6.63 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$46.07 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$4.59 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers12 claims1,497 services$0.04 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers13 claims13 services$208.53 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$26.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

WILLIAM KEITH MONTGOMERY MD

Obstetrics & Gynecology

15 RIVERBEND DR SW, STE 200
ROME, GA 30161

Floyd County (706) 291-0884

NORTHWEST GEORGIA MEDICAL CLINIC, P.C.

Obstetrics & Gynecology

15 RIVERBEND DR SW, STE 200
ROME, GA 30161

Floyd County (706) 378-5651

DR. KRISTEN HIGGINS LEEZER M.D.

Obstetrics & Gynecology

15 RIVERBEND DR SW, STE 200
ROME, GA 30161

Floyd County (706) 291-0884

EMMA CORDLE NP

Nurse Practitioner

15 RIVERBEND DR SW, STE 100
ROME, GA 30161

Floyd County (706) 291-0884

LORI PONDER CRNP

Nurse Practitioner (Family)

15 RIVERBEND DR SW, STE 100
ROME, GA 30161

Floyd County (706) 291-0884

DR. ASA A. PEEK D.O.

Obstetrics & Gynecology

15 RIVERBEND DR SW, STE 200
ROME, GA 30161

Floyd County (706) 291-0884

CHILDREN'S DENTAL CENTER, PC

Dentist (Pediatric Dentistry)

15 RIVERBEND DR SW, STE 130
ROME, GA 30161

Floyd County (706) 232-1283

DIXON L FREEMAN MD

Obstetrics & Gynecology

15 RIVERBEND DR SW, STE 200
ROME, GA 30161

Floyd County (706) 291-0884

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 James Douglas's NPI number?

The NPI number for James Douglas is 1962489732. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is James Douglas located?

James Douglas practices at 15 Riverbend Dr SW Ste 100 & 200, Rome, GA 30161. The listed phone number is (706) 291-0884.

What is James Douglas's specialty?

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

Is James Douglas enrolled in Medicare?

Yes. James 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 James Douglas accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list James 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.

Is James Douglas affiliated with any hospitals?

According to CMS data, James Douglas is affiliated with Hamilton Medical Center, Atrium Health Floyd Medical Center and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Douglas was last updated on April 11, 2024. 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.