Douglas Bruce Genereux, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00199 Issued in RI

Practice address

70 Kenyon Ave Ste 280
Wakefield, RI 02879-4253

Phone

(401) 284-1212

Fax

(401) 788-8730

NPI assigned

Oct 19, 2006

Last updated

Jul 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Silver Spring Health Care Management IncGroup PAC ID 4688661127, shared by 14 NPIs, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
• Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgenereux@kent.cernerdirect.carene.org
• Direct secure messaging: ttrafford17678@direct.carene.org

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.

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662
  Medicare reassignment Care Compare group NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Urology

  • Urology Physician
  • Wakefield, RI
  • NPI 1477052256

  Surgical

  Medicare reassignment NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Surgery

  • Surgery Physician
  • Wakefield, RI
  • NPI 1619157468
  Medicare reassignment NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Nursery

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Silver Spring Health Care Management, Inc

  dba SCMG Behavioral Health & Community Health Team

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wakefield, RI
  • NPI 1104871003
  NPD (past)

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

• Kent County Memorial Hospital

  dba Kent County Hospital Rehab Unit

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944
  Care Compare affiliation
• Kent County Memorial Hospital

  • General Acute Care Hospital
  • Warwick, RI
  • NPI 1386643294
  Care Compare affiliation
• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1518049469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-3929",
            "fax_number": "401-788-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE STE 280",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794253",
            "telephone_number": "401-284-1212",
            "fax_number": "401-788-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Centerville Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864336",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_2": "C70",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-3922",
            "fax_number": "401-793-7866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "268 Post Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028916601",
            "country_code": "US",
            "telephone_number": "401-284-1212",
            "fax_number": "401-789-1358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Powel Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402655",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Centerville Road",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "02886",
            "country_code": "US",
            "telephone_number": "401-736-3731",
            "fax_number": "401-732-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Kenyon Ave Ste L10",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794253",
            "country_code": "US",
            "telephone_number": "401-788-1638",
            "fax_number": "401-782-9892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Centerville Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864336",
            "country_code": "US",
            "telephone_number": "401-284-1212",
            "fax_number": "401-789-1358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3461 S County Trl Ste 201",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181463",
            "country_code": "US",
            "telephone_number": "401-284-1212",
            "fax_number": "401-789-1358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Kenyon Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794253",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "fax_number": "401-738-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENEREUX",
        "first_name": "DOUGLAS",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA00199",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galilee Mission, Inc.
• Amy Gannon
• Lillian Merrill Gates, OTR/L
• Shennel Martina Gelin, MD
• Beverly J Genader, APRN
• Bertram St Cyr Linard Gibbes, PHD PSYCHOLOGIST
• Robert S Gilardetti, M.D.
• Chelsea Marie Gleeson, MS CCC-SLP
• Patrick Dean Glenn, PT
• Mercedes Marie Godin, PA-C

• Physician Assistant in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.