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KELVIN L. DOUGLAS M.D.
NPI 1982643482
Internal Medicine in Jackson, TN

Active since June 06, 2006
2156-B N. HIGHLAND AVE, STE 282, JACKSON, TN 38305(731) 499-2791(731) 285-5200 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelvin L. Douglas M.d. NPPES

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

KELVIN L. DOUGLAS M.D. (NPI 1982643482) is an individual internal medicine provider in Jackson, Tennessee, licensed in Tennessee (26349) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1982643482
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKELVIN L. DOUGLASCredential: M.D.
Location Address2156-B N. HIGHLAND AVE, STE 282Jackson, TN 38305
Mailing Address1505 Woodlawn Ave, Ste ADyersburg, TN 38024 · (731) 287-1500 · Fax (731) 285-5200
Phone(731) 499-2791
Fax(731) 285-5200
Sole ProprietorYes
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1982643482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 26349
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2156-B N. HIGHLAND AVE, Jackson, TN 38305
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Other Identifiers 7

Medicare ID-Type Unspecified3090776TN · Medicare Provider #
Medicaid4106545TN
Medicaid17154TN
Medicaid171276TN
Other4106545TN · Bcbst
Medicaid35464TN
Medicaid3090776TN

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 Kelvin Douglas's NPI number?

The NPI number for Kelvin Douglas is 1982643482. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Kelvin Douglas located?

Kelvin Douglas practices at 2156-B N. Highland Ave Ste 282, Jackson, TN 38305. The listed phone number is (731) 499-2791.

What is Kelvin Douglas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kelvin Douglas was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.