RHEA V DOUGLAS (P.A.) – Medical Physician Assistant, NPI 1023247210

RHEA V DOUGLAS (P.A.) is a healthcare provider. based in Suwanee, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 5536 (GA). The NPI Number for RHEA V DOUGLAS (P.A.) is 1023247210

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
RHEA V DOUGLAS (P.A.)
NPI
1023247210
Phone
(770) 622-4412
Address
4285 JOHNS CREEK PKWY
Enumeration Date
8 July 2009
Last Update Date
22 April 2014

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7703368888
Graduation Year
2008 (18 years ago)
PAC ID
8628122199
Group Practice PAC ID
6800885757
Professional Enrollment ID
I20090818000462
Address ID
GA301573163DA850XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for RHEA V DOUGLAS (P.A.)

  • 4285 JOHNS CREEK PKWY

    SUITE A

    SUWANEE, GA 300246038

    Phone: (770) 622-4412

    Fax: (770) 622-4191

    Type: Mailing

  • Clairmont Road, Decatur, DeKalb County, Georgia, 30030, United States

    DECATUR, GA 300333415

    Phone: (404) 321-4600

    Fax: (404) 320-0987

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $4,745.

Total Amount is formed as General ($4,745) + Research ($0) + Ownership ($0) = $4,745.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: UCB, Inc. ($1,313).

Total Amount

$4,745

General + Research + Ownership

Payments

100

Total payment records

General Amount

$4,745

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-18

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
I20090818000462IPhysician AssistantGATBD

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
17003Destruction of precancer skin growth, 2-14 growths722130$0
99213Established patient office or other outpatient visit, 20-29 minutes267230$0
17000Destruction of precancer skin growth, 1 growth223187$0
17110Destruction of skin growth, 1-14 growths149131$0
99214Established patient office or other outpatient visit, 30-39 minutes143115$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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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: 6800885757View full group profile
NameSpecialtyState
D E R M A T O L O G YAL
D E R M A T O L O G YMA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YFL
Micrographic Dermatologic Surgery (Mds), DermatologyGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for RHEA V DOUGLAS (P.A.)?
Save NPI 1023247210 if you need a stable reference for RHEA V DOUGLAS (P.A.).
Is RHEA V DOUGLAS (P.A.) currently active in the NPI registry?
CMS-published data lists RHEA V DOUGLAS (P.A.) as an active registrant.
What kind of provider is RHEA V DOUGLAS (P.A.)?
The page reflects Medical Physician Assistant for RHEA V DOUGLAS (P.A.). Clinical services aligned with this taxonomy classification.
What location metadata exists for RHEA V DOUGLAS (P.A.)?
The page summarizes Suwanee, Georgia for RHEA V DOUGLAS (P.A.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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