DOUGLAS O. BAXLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1912956939

DOUGLAS O. BAXLEY (CRNA) is a healthcare provider. based in Jackson, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-056701 (AL). The NPI Number for DOUGLAS O. BAXLEY (CRNA) is 1912956939

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS O. BAXLEY (CRNA)
NPI
1912956939
Phone
(251) 246-9594
Address
285 RHETT CIR
Enumeration Date
8 May 2006
Last Update Date
17 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123757781
Graduation Year
1998 (28 years ago)
PAC ID
9638156870
Group Practice PAC ID
4981692472
Professional Enrollment ID
I20050907001031
Address ID
GA315396465HA163XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,626 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for DOUGLAS O. BAXLEY (CRNA)

  • 285 RHETT CIR

    JACKSON, AL 365458703

    Phone: (251) 246-9594

    Type: Location

  • 247 S MAIN ST

    REIDSVILLE, GA 304534605

    Phone: (912) 557-1000

    Type: Location

  • 285 Rhett Cir

    Jackson, AL 365458703

    Phone: (251) 246-9594

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040706000630ICertified Registered Nurse Anesthetist (Crna)ALTBD
I20050907001031ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36545)

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Provider's Procedures

DOUGLAS O. BAXLEY (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAL00790Anesthesia for procedure in upper abdomen including use of an endoscope1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981692472View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorGA
-GA
Nurse PractitionerGA
-GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is DOUGLAS O. BAXLEY (CRNA) identified in CMS data?
CMS-hosted NPPES data lists DOUGLAS O. BAXLEY (CRNA) with NPI 1912956939.
Does the file indicate DOUGLAS O. BAXLEY (CRNA) is practicing under active NPI?
Directory data currently reports DOUGLAS O. BAXLEY (CRNA) as active.
What is DOUGLAS O. BAXLEY (CRNA) best known for clinically?
Directory data describes DOUGLAS O. BAXLEY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does DOUGLAS O. BAXLEY (CRNA) list a practice location?
Patients near Jackson, Alabama may find DOUGLAS O. BAXLEY (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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