PHILLIP EDWIN DOUGLAS (D.O.) – Family Medicine Physician, NPI 1659571438

PHILLIP EDWIN DOUGLAS (D.O.) is a healthcare provider. based in Columbus, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 002478 (GA). The NPI Number for PHILLIP EDWIN DOUGLAS (D.O.) is 1659571438

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP EDWIN DOUGLAS (D.O.)
NPI
1659571438
Phone
(706) 571-1120
Address
1800 10TH AVE
Enumeration Date
20 July 2007
Last Update Date
20 July 2007

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6623773000
Graduation Year
2011 (15 years ago)
PAC ID
4789725284
Group Practice PAC ID
6608179734
Professional Enrollment ID
I20110713000177
Address ID
MS388014934TU830XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,514 EMERGENCY MEDICINE in GA

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Provider Addresses for PHILLIP EDWIN DOUGLAS (D.O.)

  • 1800, 10th Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31901, United States

    COLUMBUS, GA 319011513

    Phone: (706) 571-1120

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Boston Scientific Corporation ($140).

Total Amount

$140

General + Research + Ownership

Payments

1

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2011-07-13

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
I20100106000324IEmergency MedicineALTBD
I20110713000177IEmergency MedicineMSTBD

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
99285Emergency department visit with high level of medical decision making635606$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only382373$0
99284Emergency department visit with moderate level of medical decision making9387$0
99291Critical care, first 30-74 minutes5655$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2020$0
View full utilization report →

Insurance plans in this area (ZIP 31901)

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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: 6608179734View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Emergency MedicineMS
Nurse PractitionerMS
Emergency MedicineOH
Family PracticePA
Emergency MedicineDE
Family PracticeTX
Emergency MedicineKY

Reviews

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Frequently asked questions

What number should I use to identify PHILLIP EDWIN DOUGLAS (D.O.) for billing?
Administrative and clinical systems typically use NPI 1659571438 for PHILLIP EDWIN DOUGLAS (D.O.).
Is PHILLIP EDWIN DOUGLAS (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists PHILLIP EDWIN DOUGLAS (D.O.) as active.
What does the directory say PHILLIP EDWIN DOUGLAS (D.O.) does?
Insurance directories may phrase it differently, but here PHILLIP EDWIN DOUGLAS (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to PHILLIP EDWIN DOUGLAS (D.O.)?
The directory associates PHILLIP EDWIN DOUGLAS (D.O.) with Columbus, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains PHILLIP EDWIN DOUGLAS (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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