Individual provider Active NPI

Argelia Clementina Douglas, M.D.

  • Pediatrics Physician
  • Edinburg, TX
National Provider Identifier
1649360439
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J8999 Issued in TX
Practice address
5007 S McColl Rd
Edinburg, TX 78539-8080
Phone
(956) 587-0555
Fax
(956) 587-0550
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8999 TX
Adolescent Medicine (Family Medicine) Physician 207QA0000X J8999 TX
Pediatric Adolescent Medicine Physician 2080A0000X J8999 TX
Pediatrics Physician 208000000X J8999 TX Primary

Addresses

Primary practice location

5007 S McColl Rd
Edinburg, TX 78539-8080

Mailing address

5007 S McColl Rd
Edinburg, TX 78539-8080
Phone (956) 587-0555

Other practice location 1

2112 E Griffin Pkwy
Mission, TX 78572-3225
Phone (956) 904-2202

Other practice location 2

303 Conquest
Edinburg, TX 78539-3040
Phone (956) 720-0450

Other identifiers 3

IdentifierTypeStateIssuer
213904001MedicaidTX
213904002MedicaidTX
1376857706OtherTXGROUP NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230413000123 TX Practitioner - Family Practice 5395110977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8999TXMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Care PLLC Family Medicine CurrentSince May 1, 2023 Accepting new patients
Advanced Kids Care 2, P.a. Pediatrics CurrentSince Aug 1, 2020 Accepting new patients
Advanced Kids Care, P.a. Pediatrics Past Accepting new patients

Locations

5007 S McColl Rd
Edinburg, TX 78539
Phone (956) 587-0555

303 Conquest
Edinburg, TX 78539
Phone (956) 457-7092

2112 E Griffin Pkwy
Mission, TX 78572
Phone (956) 581-6366

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1649360439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398080",
            "telephone_number": "956-587-0555",
            "fax_number": "956-587-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398080",
            "telephone_number": "956-587-0555",
            "fax_number": "956-587-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 E Griffin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723225",
            "country_code": "US",
            "telephone_number": "956-904-2202",
            "fax_number": "956-904-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Conquest",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785393040",
            "country_code": "US",
            "telephone_number": "956-720-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ARGELIA",
        "middle_name": "CLEMENTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8999",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "J8999",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "J8999",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J8999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213904001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213904002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1376857706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.