NPIMap

Individual provider Active NPI

Douglas Claude Appleby Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Jackson, TN
National Provider Identifier
1275581720
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
51126 Issued in TN
Practice address
329 Coatsland Dr
Jackson, TN 38301-3912
Phone
(731) 424-5080
Fax
(731) 424-4109
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 23457 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 14891 SC
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 51126 TN Primary

Addresses

Primary practice location

329 Coatsland Dr
Jackson, TN 38301-3912

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

890 W Faris Rd Ste 550
Greenville, SC 29605-4286
Phone (864) 455-6800

Other identifiers 2

IdentifierTypeStateIssuer
Q004585MedicaidTN
TL2704MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT, ND, GA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100331000798 SC Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 8426184227 Reassigns benefits to 1 organization
I20170622002198 UT Practitioner - Cardiac Surgery 8426184227 Reassigns benefits to 1 organization
I20230303000659 ND Practitioner - Cardiac Surgery 8426184227 Reassigns benefits to 1 organization
I20250428003372 GA Practitioner - Cardiac SurgeryPractitioner - Critical Care (Intensivists) 8426184227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Critical Care (Intensivists)
Education
Medical University of South Carolina College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

890 W Faris Rd
Suite 550
Greenville, SC 29605-4286
Phone (864) 455-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 28, 2022 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Prisma Health University Medical Group CurrentSince Jul 28, 2022 Accepting new patients
University of Utah Adult Services CurrentSince May 25, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Feb 9, 2025 Accepting new patients
Altru Health System Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Altru Health System CurrentSince Jul 27, 2023 Accepting new patients
University of Utah Adult Services CurrentSince May 25, 2017 Accepting new patients
Altru Health System CurrentSince Jul 27, 2023 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

890 W Faris Rd
Ste 550
Greenville, SC 29605
Phone (864) 455-6800

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: dappleby46068@direct.anmedhealth.net

Organizations & group practices 10

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1275581720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 COATSLAND DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013912",
            "telephone_number": "731-424-5080",
            "fax_number": "731-424-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 W Faris Rd Ste 550",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054286",
            "country_code": "US",
            "telephone_number": "864-455-6800",
            "fax_number": "864-455-3825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEBY",
        "first_name": "DOUGLAS",
        "middle_name": "CLAUDE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "23457",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "14891",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "51126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004585",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL2704",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.