CAROLINE LOTT DOUGLAS (PA-C) – Physician Assistant, NPI 1295061208
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for CAROLINE LOTT DOUGLAS (PA-C)
Douglas, 9, Kerepesi út, Kerepesdűlő, 8th district, Budapest, Central Hungary, 1087, Hungary
DOUGLAS, GA 31534
Phone: (912) 384-1477
Fax: (912) 384-1470
Type: Mailing
100 Doctors Dr Ste B
Douglas, GA 315332211
Phone: (912) 720-9010
Fax: (912) 720-9011
Type: Location
205, Shirley Avenue, Douglas, Coffee County, Georgia, 31533, United States
DOUGLAS, GA 315332327
Phone: (912) 260-5400
Fax: (912) 260-5177
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Medtronic, Inc. ($21).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $21 |
| ABBVIE INC. | $16 |
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: 2010-01-12
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 |
|---|---|---|---|---|
| I20100112000519 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| U R O L O G Y | GA | |
| General Surgery | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | ME | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | ME |
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