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Kelley P Douglas, MD

Diagnostic Radiology Physician in Tifton, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184617474

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Registry record

Entity type Individual (Type 1)
Name Kelley P Douglas
Credential MD
Sex Male
Practice address 901 18th St E, Tifton, GA, 31794
Phone (912) 287-1515
Fax (912) 287-1394
Enumeration date Aug 23, 2005
Last updated in NPPES Nov 17, 2007

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 033957 (GA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelley Douglas?
The National Provider Identifier (NPI) for Kelley Douglas is 1184617474, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelley Douglas practice?
The practice location on file with NPPES is in Tifton, GA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-17.