Justin Wayne Douglas, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

23770 Issued in WV

Practice address

1256 N Eisenhower Dr
Beckley, WV 25801-3120

Phone

(304) 254-2641

NPI assigned

Mar 25, 2008

Last updated

Aug 4, 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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, KY2 enrollments

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 2

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

West Virginia University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Regional Healthcare IncGroup PAC ID 0840107835, 301 clinicians

Southern WV Medical and Surgical Specialists PLLCGroup PAC ID 3173810769, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062
• Tug Valley Arh Regional Medical Center Hospital, South Williamson, KY, CCN 180069
• Boone Memorial Hospital Hospital, Madison, WV, CCN 511313
• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002
• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

Merit-based Incentive Payment System (MIPS)

Final score

82.15 of 100Reported as apm

Quality

47.14

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

82.96 of 100Reported as group

Quality

73.95

Improvement activities

40

Cost

77.93

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23310/brand/1/csg/1/fhir/r4
• Direct secure messaging: justin.douglas.1@23310.direct.athenahealth.com
• Direct secure messaging: justin.douglas@swmassp-wv.direct.office.nextgen.com
• Direct secure messaging: justinwdouglas@arh.medalliesdirect.net

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.

• Southern WV Medical and Surgical Specialists PLLC

  dba Southern WV ENT

  • Otolaryngology Physician
  • Lewisburg, WV
  • NPI 1497103386
  Medicare reassignment Care Compare group NPD Authorized official
• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162
  Medicare reassignment Care Compare group NPD
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Madison, WV
  • NPI 1285686725
  Medicare reassignment NPD
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment NPD (past)
• Boone Memorial Hospital, Inc

  dba BMH Comfort Clinic

  • Rural Health Clinic/Center
  • Comfort, WV
  • NPI 1407421431
  NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Tri-Cities Clinic Pharmacy

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  dba Hazard ARH Regional Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881
  NPD
• Appalachian Regional Healthcare, Inc.

  dba ARH Tug Valley Medical Associates

  • Multi-Specialty Clinic/Center
  • South Williamson, KY
  • NPI 1710192950
  NPD
• Ronceverte Physician Group LLC

  • Gastroenterology Physician
  • Ronceverte, WV
  • NPI 1306170048
  NPD (past)

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

• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  dba Beckley ARH Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1568461440
  Care Compare affiliation
• Boone Memorial Hospital, Inc

  dba Boone Memorial Hospital

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221
  Care Compare affiliation
• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation
• Raleigh General Hospital LLC

  dba Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Tug Valley ARH Regional Medical Center

  • General Acute Care Hospital
  • South Williamson, KY
  • NPI 1649270257
  Care Compare affiliation

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1326210857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013120",
            "telephone_number": "304-254-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013120",
            "telephone_number": "304-254-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "South Williamson",
            "state": "KY",
            "postal_code": "415034095",
            "country_code": "US",
            "telephone_number": "606-237-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Skylar Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019383",
            "country_code": "US",
            "telephone_number": "681-318-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101263258",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "55925",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "23770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100790080",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justinwdouglas@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "1256 N Eisenhower Dr",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jukey Dotson, PT
• Stephanie Dotson
• Douglas Family Dentistry PLLC (Douglas Family Dentistry)
• Haley B Douglas
• Joseph Douglas, DDS
• Sandra Douglas
• Amy W Dowdy, D.O.
• Dr L E Syner and Dr W M Wine Assoc in Oral & Maxillofacial Surg Inc,
• Dr. Bose S. Mikkilineni, M.D. Facs
• Dr. Joseph M. Duda

• Otolaryngology Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Otolaryngology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.