Renee Elizabeth Doll, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME146609 Issued in FL

Practice address

463386 State Road 200 Unit a
Yulee, FL 32097-3240

Phone

(904) 468-3080

Fax

(904) 468-3193

NPI assigned

Jan 13, 2010

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Pain Management

Education

Tulane University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, 257 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
• Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renee.doll.1@25110.direct.athenahealth.com
• Direct secure messaging: renee.doll@1339.chartlogic.direct-ci.com

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.

• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1861440810

  GA

  Medicare reassignment Care Compare group NPD
• H2 Rehabilitation Services of Florida, LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Saint Marys, GA
  • NPI 1851661045
  Care Compare group
• Physicians Group Services PA

  dba Coastal Health

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1497118160
  NPD
• Physicians Group Services PA

  dba Coastal Health

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
  • NPI 1699170035
  NPD
• Physicians Group Services PA

  dba Coastal Health

  • Physical Medicine & Rehabilitation Physician
  • Orange Park, FL
  • NPI 1528371051
  NPD (past)

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

• Baptist Medical Center of Nassau Inc

  dba Baptist Medical Center Nassau

  • General Acute Care Hospital
  • Fernandina Beach, FL
  • NPI 1518024462
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1871823849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463386 STATE ROAD 200 UNIT A",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973240",
            "telephone_number": "904-468-3080",
            "fax_number": "904-468-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Arnow Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315583176",
            "country_code": "US",
            "telephone_number": "912-439-3500",
            "fax_number": "912-439-3528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 Lime St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344779",
            "country_code": "US",
            "telephone_number": "904-321-2422",
            "fax_number": "904-321-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLL",
        "first_name": "RENEE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD448573",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q9335",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME146609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109854100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02556394",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156446",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathanial Todd Diehl, RBT
• Marci Dillard, PHARMD
• Shonna Lyn Dillman, ARNP
• Emmie Dimayuga-Corso, FNP
• Hailey Morgan Dittenbir
• Carol Dollard, O.T.
• Kevin Michael Doulens, MD
• Jennifer Drummond
• Christine Easterling, CCMS
• Marty Rowland Edwards, LMFT

• Pain Medicine (Anesthesiology) Physician in Yulee, FL
• Providers in Yulee, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.