Jennifer Desiree Douglas, PA
Physician Assistant · Charleston, SC
Jennifer Desiree Douglas, PA is a physician assistant with a practice address in Charleston, South Carolina, and NPI 1023044906, issued on Jun 23, 2006. Check the license (South Carolina 3509, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jennifer Desiree Douglas
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 3509 SC
MA051653 PA
0110001232 VA
Self-reported in NPPES; status is on the state search - Practice location
- 171 Ashley Ave, Charleston, SC 29425
- Phone
- (843) 792-1414
- Enumerated
- Jun 23, 2006
- Record last updated
- Apr 14, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200331000886); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,294 in South Carolina → Look up another NPI →
Also registered at 171 Ashley Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Andrea Abbott, MDSurgical Oncology Physician1245473354
- Miguel Abboud, MDPediatric Hematology & Oncology Physician1619292851
- Ahmed Abdelkader, MD, PHDNephrology Physician1629743000
- Mohamed Abdelwahab, MDOtolaryngology Physician1528679768
- Anne Abel, MDChild Abuse Pediatrics Physician1043328990
- Christina Abrams, M.D.Pediatric Hematology & Oncology Physician1376920207
Verify Jennifer Desiree Douglas in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 3509Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 73.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University Medical Associates OF The Medical University OF South CarolCharleston, SC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jennifer Desiree Douglas among 2,294 physician assistant records in South Carolina
Jennifer Desiree Douglas, PA is one of 2,294 physician assistant records with a practice address in South Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 86% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2000 · median 2019 among the 1,516 with a school on file
- Record last updated2020 · 31% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
407 physician assistant records list a practice address in Charleston
They are 407 of the 10,840 NPPES records with a practice address in Charleston, and 2,294 physician assistant records in South Carolina.
All 2,294 in South Carolina → Every provider in Charleston → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Vicki Allen, PA CCharleston, SC 294251811987407
- Deborah Blakely, PACCharleston, SC 294251346294139
- Emily Deguzman, PACharleston, SC 294251528015674
- Peter Dodge, PACharleston, SC 294251952419905
- Merriman Dowdle, PACharleston, SC 294251831207786
- Nyala Edwards, PACharleston, SC 294251063445534
- Jennifer Fleming, MS PA-CCharleston, SC 294251376505883
- Beth Griffin, PA-CCharleston, SC 294251356346688
Common questions
What is Jennifer Desiree Douglas, PA's NPI number?
Jennifer Desiree Douglas, PA's National Provider Identifier (NPI) is 1023044906, issued on Jun 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Desiree Douglas, PA located?
The NPPES record lists a practice address at 171 Ashley Ave, Charleston, SC, 29425. Phone: (843) 792-1414. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Desiree Douglas, PA's license?
NPPES lists South Carolina license number 3509, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
What is Jennifer Desiree Douglas, PA's MIPS final score?
The 2023 MIPS final score is 73.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.