Charles Jacob Douchy, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

040052 Issued in GA

Practice address

3850 Pleasant Hill Rd
Duluth, GA 30096-4807

Phone

(770) 814-8222

Fax

(678) 205-5111

NPI assigned

Aug 22, 2005

Last updated

Jul 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Albany Medical College of Union University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Atlanta DermatologyGroup PAC ID 2163310533, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Interoperability endpoints

• Direct secure messaging: cdouchy@aadermaffiliates.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Atlanta Dermatology

  • Dermatology Physician
  • Duluth, GA
  • NPI 1427040799
  Medicare reassignment Care Compare group
• Dermatology Specialists of Augusta, Inc

  • Dermatology Physician
  • Evans, GA
  • NPI 1558339275
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1003808361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 PLEASANT HILL RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964807",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 PLEASANT HILL RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964807",
            "telephone_number": "770-814-8222",
            "fax_number": "678-205-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 Augusta West Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309091854",
            "country_code": "US",
            "telephone_number": "706-863-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Town Park Ln",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093481",
            "country_code": "US",
            "telephone_number": "706-650-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Johnson Ferry Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626411",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Bald Ridge Marina Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417859",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 Paddocks Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249119",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3331 Hamilton Mill Rd Ste 1106",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305197226",
            "country_code": "US",
            "telephone_number": "770-814-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUCHY",
        "first_name": "CHARLES",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "040052",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "040052",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "040052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00663396B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "070014632",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000663396E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000663396F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2498075",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "912915",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dongbang Herb
• Benjamin Patrick Dongieux, D.M.D.
• Stanley M Dorelien, LPC
• Kristin Dortch
• Priti R Doshi, RPH
• Dowoom LLC
• Tiarra Doyle
• Dr. Steven Sommer LLC (Duluth Chiropractic and Wellness Center)
• Catherine C Dragstedt, MD
• Kelsey Drain, BCBA

• Dermatology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.