WADE G DOUGLAS (MD) – Surgery Physician, NPI 1689634388

WADE G DOUGLAS (MD) is a healthcare provider. based in Tallahassee, Florida. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 21963 (WV). The NPI Number for WADE G DOUGLAS (MD) is 1689634388

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
WADE G DOUGLAS (MD)
NPI
1689634388
Phone
(850) 877-5183
Address
1401 CENTERVILLE ROAD
Enumeration Date
25 March 2006
Last Update Date
19 August 2014

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8504315360
Graduation Year
1992 (34 years ago)
PAC ID
6507896172
Group Practice PAC ID
6103724778
Professional Enrollment ID
I20141008001552
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for WADE G DOUGLAS (MD)

  • 1401, Centerville Road, Tallahassee, Leon County, Florida, 32308, United States

    SUITE 100

    TALLAHASSEE, FL 323083656

    Phone: (850) 877-5183

    Fax: (850) 656-1288

    Mailing address matches the actual address.

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: 2014-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20141008001552IGeneral SurgeryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes1414$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1212$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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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: 6103724778View full group profile
NameSpecialtyState
R H E U M A T O L O G YKY
Cardiovascular Disease (Cardiology), Internal MedicineFL
Physician AssistantFL
E N D O C R I N O L O G YMN
Family PracticeFL
-FL
Internal MedicineFL
-IA
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

How do I look up WADE G DOUGLAS (MD) by NPI?
Use NPI 1689634388 when you need to reference WADE G DOUGLAS (MD) in forms, claims, or directories.
Is WADE G DOUGLAS (MD)'s NPI currently valid?
The extract we use shows WADE G DOUGLAS (MD) as active.
What kind of provider is WADE G DOUGLAS (MD)?
The page reflects Surgery Physician for WADE G DOUGLAS (MD). Clinical services aligned with this taxonomy classification.
What location shows for WADE G DOUGLAS (MD)?
We surface Tallahassee, Florida for WADE G DOUGLAS (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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