Individual provider Active NPI

Adrian Cedric Douglass, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1245393396
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036522 Issued in GA
Practice address
1800 Howell Mill Rd NW Ste 650
Atlanta, GA 30318-3188
Phone
(404) 537-8081
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036522 GA Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 650
Atlanta, GA 30318-3188

Mailing address

1800 Howell Mill Rd NW Ste 650
Atlanta, GA 30318-3188
Phone (404) 300-3494

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100326000070 GA Practitioner - Internal Medicine 0941336291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
North Carolina Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdvip Medical Group Ga-AtlGroup PAC ID 5597021386, 9 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd NW
Atlanta, GA 30318-3188
Phone (404) 300-3494

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mdvip Medical Group Ga-Atl Internal Medicine CurrentSince Aug 23, 2017 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300

1800 Howell Mill Rd NW
Ste 650
Atlanta, GA 30318
Phone (404) 300-3494

105 Collier Rd NW
Ste 3060
Atlanta, GA 30309
Phone (404) 367-3070

29444 Network Pl
Chicago, IL 60673

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1245393396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183188",
            "telephone_number": "404-300-3494",
            "fax_number": "404-355-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183188",
            "telephone_number": "404-537-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "ADRIAN",
        "middle_name": "CEDRIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2022-11-04",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.