Douglas Medical Specialist
NPI 1114114055 · Internal Medicine Physician · Willacoochee, GA
Douglas Medical Specialist is a Internal Medicine Physician organization in Willacoochee, GA (NPI 1114114055).
Provider details
- NPI number
- 1114114055
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marshall Tanner, Director(912) 384-3338
- License
- 056658 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2007-10-30
Frequently asked questions
- What is Douglas Medical Specialist's NPI number?
- Douglas Medical Specialist's National Provider Identifier (NPI) is 1114114055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Douglas Medical Specialist?
- Douglas Medical Specialist is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Medical Specialist located?
- Douglas Medical Specialist's practice location on file with NPPES is 134 E Fleetwood Ave, Willacoochee, GA 31650.
- What is Douglas Medical Specialist's phone number?
- The practice phone number listed in the NPPES registry for Douglas Medical Specialist is (912) 384-3338.
- Who is the authorized official for Douglas Medical Specialist?
- The authorized official listed on Douglas Medical Specialist's NPPES record is Marshall Tanner, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Douglas Medical Specialist's NPI active?
- Yes — Douglas Medical Specialist's NPI (1114114055) is active in the NPPES registry as of the last update on 2007-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.