ADRIAN CEDRIC DOUGLASS (M.D.) – Internal Medicine Physician, NPI 1245393396
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for ADRIAN CEDRIC DOUGLASS (M.D.)
35, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States
SUITE 500
ATLANTA, GA 303091613
Phone: (404) 350-1010
Fax: (404) 355-7338
Type: Mailing
1800 HOWELL MILL RD NW STE 650
ATLANTA, GA 303183188
Phone: (404) 300-3494
Fax: (404) 355-2360
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: PFIZER INC. ($39).
Total Amount
$237
General + Research + Ownership
Payments
13
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $39 |
| Lilly USA, LLC | $38 |
| Novo Nordisk Inc | $35 |
| AstraZeneca Pharmaceuticals LP | $22 |
| Astellas Pharma US Inc | $20 |
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: 2010-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100326000070 | I | Internal Medicine | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 285 | 140 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 141 | 97 | $0 |
| 81003 | Automated urinalysis test | 127 | 116 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 123 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 80 | $0 |
Insurance plans in this area (ZIP 30309)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 90670 | Pneumococcal vaccine for injection into muscle | 72 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA |
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