Douglas Anthony Collins, PA
Individual provider Active NPI Physician Assistant · Blairsville, GA
NPI 1285780668 · NPPES record last updated Dec 2, 2009
Key facts
- NPI
- 1285780668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- GA1879 (GA)
- Practice address
- 178 A Hospital Road
Ste a
Blairsville, GA 30512 - Phone
- (706) 745-4191
- Fax
- (706) 745-9370
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA1879 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Union County Hospital Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GA1879 | GA | Yes |
Addresses
Primary practice location
178 A Hospital Road
Ste a
Blairsville, GA 30512
Mailing address
178A Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-4191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001361A | Medicaid | GA | |
| 335862 | Other | GA | WELLCARE |
Other providers in Blairsville, GA
- William Kyle Cody
- Amy S Cole
- Cassidy Coleman
- Hana Gabriella Coleman
- Peggy Elizabeth Coleman
- Dana Conner
- Kendra Jordan Cook
- Ivy Lynn Devitt Cote
- Holly C Cox
- Joshua David Curtis
All providers in Blairsville, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.