Doctor profile · Federal record
Dr. Kelly Douglas
Medical Physician Assistant (CMS: Physician Assistant) · Student in an Organized Health Care Education/Training Program · Huntingdon, TN
- NPI 1912649120
- Accepts Medicare
- 4 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3493 Veterans Dr N Ste C
Huntingdon, TN 383446230
(731) 986-2933 - Mailing address
-
211 Maple St
Huntingdon, TN 383443124
Credentials & registration
- NPI registered
- April 2022 — 4 yrs on file
- Profile last updated
- July 29, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Tennessee #5629
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912649120. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $21.57 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $13.61 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Douglas's medical specialty?
Dr. Kelly Douglas practices Medical Physician Assistant in Huntingdon, TN.
Where does Dr. Kelly Douglas practice?
Dr. Kelly Douglas practices at 3493 Veterans Dr N Ste C, Huntingdon, TN 383446230. Office phone: 7319862933.
What is Dr. Kelly Douglas's NPI?
Dr. Kelly Douglas's National Provider Identifier (NPI) is 1912649120, issued by NPPES.
Does Dr. Kelly Douglas accept Medicare assignment?
Yes. Dr. Kelly Douglas accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.