Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295061208 Individual Practitioner Female Practitioner

Caroline Lott Douglas , PA-C

Physician Assistant • Douglas, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Caroline Douglas, PA-C is a certified Physician Assistant practicing in Douglas, GA. With approximately 17 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2009, Caroline Douglas delivers high-quality medical care to the local community at 205 SHIRLEY AVE.

Caroline Douglas is affiliated with Crh Physician Practices, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of gallbladder with x-ray study of bile ducts using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 Shirley Ave

Douglas, GA 315332327

Telephone 9122605400
Fax 9122605177
Associated Practice Facility / Clinic
🏢 Crh Physician Practices Llc Facility NPI 1700137684

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Douglas, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +3.6 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Douglas, GA (4726 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Douglas (17 Years) 17 Yrs
Douglas Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope
13 13 $593.00 $88.67

Medical Specialties & State Licenses

CMS Verified: 2022-06-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 005678

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9105371

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
858523224F (GA)
Commercial Insurance / Payer ID Medical License
005678 (GA)

Hospital & Practice Group Affiliations

Crh Physician Practices, Llc

1508 Tebeau St, Waycross, GA 315015327

Phone: 9123845832

Crh Physician Practices, Llc

100 Doctors Dr, Douglas, GA 315332211

Secondary Practice Locations

100 Doctors Dr Ste B

Douglas, GA 315332211

Phone: 9127209010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Shanda Carter , NP

Nurse Practitioner - Family

NPI 1023485935

Nurse Practitioner

Dr. Jeffery Winge , MD

Emergency Medicine

NPI 1770516361

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Physician Assistant (License #PA9105371 in FL)

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2017

Registered at 205 SHIRLEY AVE, DOUGLAS, GA 315332327 (Tel: 9122605400)

📍
Updated Business Mailing Address September 06, 2017

Registered at PO BOX 1377, DOUGLAS, GA 31534 (Tel: 9123841477)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as CAROLINE DOUGLAS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Physician Assistant (License #PA9105371 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Physician Assistant (License #005678 in GA)

NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2010

Registered at 1143 NW 64TH TER, GAINESVILLE, FL 326054218 (Tel: 3523311201)

📍
Updated Business Mailing Address August 05, 2010

Registered at 1143 NW 64TH TER, GAINESVILLE, FL 326054218 (Tel: 3523311201)

👤
Provider Name / Credentials Updated August 05, 2010

Recorded as CAROLINE DOUGLAS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Physician Assistant (License #005678 in GA)

🟢
Initial NPI Registration & Enumeration October 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295061208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2009
Last Update: June 27, 2022
Sole Proprietor: No

Mailing Address

Po Box 1377

Douglas, GA 31534

Phone: 9123841477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.