DOUGLAS THAGGARD (MD) – Internal Medicine Physician, NPI 1215347349

DOUGLAS THAGGARD (MD) is a healthcare provider. based in Olive branch, Mississippi. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. 56029 (TN). The NPI Number for DOUGLAS THAGGARD (MD) is 1215347349

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS THAGGARD (MD)
NPI
1215347349
Phone
(901) 516-1290
Address
4250 BETHEL RD
Enumeration Date
28 April 2014
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
9015161290
Graduation Year
2014 (12 years ago)
PAC ID
2264651199
Group Practice PAC ID
1254241235
Professional Enrollment ID
I20170731002472
Address ID
MS386548737OL4250XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

228 HOSPITALIST in MS

Provider Addresses for DOUGLAS THAGGARD (MD)

  • 4250 BETHEL RD

    OLIVE BRANCH, MS 386548737

    Phone: (901) 516-1290

    Fax: (901) 516-1220

    Type: Location

  • PO BOX 1000 DEPT 351

    MEMPHIS, TN 381480001

    Phone: (901) 758-9900

    Fax: (901) 752-2335

    Type: Mailing

  • 7691 Poplar Ave

    Germantown, TN 381383904

    Phone: (901) 516-1290

    Fax: (901) 516-1220

    Type: Location

  • 1211 UNION AVE STE 330

    MEMPHIS, TN 381046655

    Phone:

    Type: Mailing

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: 2017-08-01

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
I20170731002472IHospitalistMSTBD
I20170801000980IHospitalistTNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes397188$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes200110$0
99239Hospital discharge day management, more than 30 minutes184177$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9894$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7573$0
View full utilization report →

Insurance plans in this area (ZIP 38654)

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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: 1254241235View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineTN
Hematology/Oncology, Internal MedicineTN
Nurse PractitionerTN
-TN
H O S P I T A L I S TMS
Hospitalist, Emergency Medicine, Internal MedicineTN
H O S P I T A L I S TTN
H O S P I T A L I S TTN
Internal MedicineMS
-TN

Reviews

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Frequently asked questions

Can I verify DOUGLAS THAGGARD (MD) with an NPI only?
You can start verification with NPI 1215347349 for DOUGLAS THAGGARD (MD), then check state licensing separately.
Can I rely on DOUGLAS THAGGARD (MD) being an active provider?
As of the registry snapshot, DOUGLAS THAGGARD (MD) is marked active.
What is DOUGLAS THAGGARD (MD)'s specialty?
The listing groups DOUGLAS THAGGARD (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DOUGLAS THAGGARD (MD) list a practice location?
Patients near Olive Branch, Mississippi may find DOUGLAS THAGGARD (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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4250 Bethel Rd
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