IndividualActive
Kelley Douglas, MD
NPI 1184617474 · Diagnostic Radiology Physician · Tifton, GA
Kelley Douglas, MD is a Diagnostic Radiology Physician provider in Tifton, GA (NPI 1184617474).
Provider details
- NPI number
- 1184617474
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 033957 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
901 18th St E
Tifton, GA 31794-3648
Phone: (912) 287-1515
Fax: (912) 287-1394
Street-level locationGet directions
Mailing address
901 18th St E
Tifton, GA 31794-3648
Registry dates
- Enumerated
- 2005-08-23
- Last updated
- 2007-11-17
Frequently asked questions
- What is Kelley Douglas's NPI number?
- Kelley Douglas's National Provider Identifier (NPI) is 1184617474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelley Douglas's specialty?
- Kelley Douglas is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kelley Douglas located?
- Kelley Douglas's practice location on file with NPPES is 901 18th St E, Tifton, GA 31794-3648.
- What is Kelley Douglas's phone number?
- The practice phone number listed in the NPPES registry for Kelley Douglas is (912) 287-1515.
- Is Kelley Douglas's NPI active?
- Yes — Kelley Douglas's NPI (1184617474) is active in the NPPES registry as of the last update on 2007-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.