NPIMap

Individual provider Active NPI

Jillian Leigh Douglas, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lewisburg, WV
National Provider Identifier
1851564256
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2423 Issued in WV
Practice address
206 Skylar Dr
Lewisburg, WV 24901-9383
Phone
(681) 318-3586
Fax
(681) 318-3587
NPI assigned
Apr 7, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2423 WV
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2423 WV Primary

Addresses

Primary practice location

206 Skylar Dr
Lewisburg, WV 24901-9383

Mailing address

206 Skylar Dr
Lewisburg, WV 24901-9383
Phone (304) 989-4040

Other names 1

  • Jillian Leigh Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000006 WV Practitioner - EndocrinologyPractitioner - Internal Medicine 8224209523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
West Virginia School of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern WV Medical and Surgical Specialists PLLCGroup PAC ID 3173810769, 4 clinicians

Practice addresses (Care Compare)

206 Skylar Dr
Lewisburg, WV 24901-9383
Phone (681) 318-3540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.96 of 100Reported as group
Quality
73.95
Improvement activities
40
Cost
77.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern WV Medical and Surgical Specialists PLLC CurrentSince Dec 1, 2016 Accepting new patients

Locations

206 Skylar Dr
Lewisburg, WV 24901
Phone (336) 978-4618

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851564256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SKYLAR DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019383",
            "telephone_number": "304-989-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SKYLAR DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019383",
            "telephone_number": "681-318-3586",
            "fax_number": "681-318-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2423",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "ROGERS",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.