Douglas L West, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

23418 Issued in GA

Practice address

1514 E Evans St
Bainbridge, GA 39819-4363

Phone

(229) 246-6090

Fax

(229) 246-0290

NPI assigned

Jul 4, 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

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Southside Family Medicine, Inc.

  • Family Medicine Physician
  • Southside, AL
  • NPI 1649463431
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659301810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 E EVANS ST",
            "address_2": "P. O. BOX 500",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194363",
            "telephone_number": "256-238-6035",
            "fax_number": "256-238-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194363",
            "telephone_number": "229-246-6090",
            "fax_number": "229-246-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "23418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumalee Watson, PT
• WB Drugs, Inc. (brock's vital care)
• WB Drugs, Inc. (RX Drugcenter)
• Diane W. Welch, CCC-SLP
• Mary Jane Wells, PTA
• Lorraine Anderson West, NP
• Daniel W. White, D.M.D.
• Sylena Mosely Wiggins, CCC-SLP
• Grace Ellen Wiley, MSW, LMSW
• Samantha Wilkin, SLP

• Gastroenterology Physician in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.