Douglas Medical Specialist
NPI 1154475085ActiveOrganization· Internal Medicine, Cardiovascular Disease· Douglas, GA
Internal Medicine, Cardiovascular Disease in Douglas, Georgia, registered in NPPES in January 2007. The authorized official on file is Cindy McNeil, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154475085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 024996 | GA |
| Internal Medicine | 207R00000X | 038423 | GA |
| Internal Medicine | 207R00000X | 053749 | GA |
| Internal Medicine | 207R00000X | 056658 | GA |
| Nurse Practitioner, Primary Care | 363LP2300X | RN101998 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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