Cary Dale Douglass, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3085 Issued in TX

Practice address

1106 Clayton LN Ste 102W
Austin, TX 78723-2433

Phone

(512) 872-6868

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJEECD

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.

• Family Medicine Center of Austin, P.a.

  • Family Medicine Physician
  • Austin, TX
  • NPI 1780009522
  Medicare reassignment NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1477564342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232433",
            "telephone_number": "512-872-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232433",
            "telephone_number": "512-872-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 W 38th St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316317",
            "country_code": "US",
            "telephone_number": "512-872-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 S Highway 183 Ste B",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786412366",
            "country_code": "US",
            "telephone_number": "512-872-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "CARY",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "J3085",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camila Douglas, SLPA
• Christopher Douglas
• Michal A Douglas, M.D.
• Ryan Douglas, PH.D.
• Sidney Douglas, LCSW
• Elizabeth Tate Douglass, MD
• Doula Bae
• Stephanie Anne Douple, LPC, LCDC
• Jennifer Dour, LPC
• Hong Elaine Dove, LPC

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.