MICHELLA GLENNA DOUGLAS (PA-C) – Physician Assistant, NPI 1053949586
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,134 PHYSICIAN ASSISTANT in TN
Provider Addresses for MICHELLA GLENNA DOUGLAS (PA-C)
1400 S GERMANTOWN RD
GERMANTOWN, TN 381382205
Phone: (901) 759-3100
Type: Mailing
6025 Walnut Grove Rd Ste 301
Memphis, TN 381202123
Phone: (901) 226-0456
Fax: (901) 226-0458
Type: Location
3911 OAK BRANCH CIR W
MEMPHIS, TN 381350213
Phone: (901) 643-5288
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: 2022-03-18
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211001001746 | I | Physician Assistant | TN | TBD |
| I20220318000126 | I | Physician Assistant | MS | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 741 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 129 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 135 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 108 | 58 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 106 | 78 | $0 |
Insurance plans in this area (ZIP 38138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TN | |
| Hand Surgery, Orthopedic Surgery | TN | |
| Nurse Practitioner | MS | |
| Physician Assistant | TN | |
| Family Practice, Sports Medicine | TN | |
| Orthopedic Surgery | TN | |
| Orthopedic Surgery | TN | |
| Physical Therapist In Private Practice | TN | |
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | TN |
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