Individual provider Active NPI

Douglas Caldwell Collins, M.D.

  • Hematology & Oncology Physician
  • Atlanta, GA
National Provider Identifier
1306937461
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
020092 Issued in GA
Practice address
320 Parkway Dr NE
Suite 232
Atlanta, GA 30312-1213
Phone
(404) 522-0917
Fax
(404) 522-0953
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 020092 GA Primary

Addresses

Primary practice location

320 Parkway Dr NE
Suite 232
Atlanta, GA 30312-1213

Mailing address

320 Parkway Dr NE
Suite 232
Atlanta, GA 30312-1213
Phone (404) 522-0917

Other identifiers 2

IdentifierTypeStateIssuer
000230095FMedicaidGA
00230095CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020092GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. PastSince Jul 1, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1306937461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARKWAY DR NE",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121213",
            "telephone_number": "404-522-0917",
            "fax_number": "404-522-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARKWAY DR NE",
            "address_2": "SUITE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121213",
            "telephone_number": "404-522-0917",
            "fax_number": "404-522-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DOUGLAS",
        "middle_name": "CALDWELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "020092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000230095F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230095C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.