Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Douglas

Individual provider Physician Assistant · NPI 1912649120

Kelly Douglas is a Physician Assistant in Huntingdon, Tennessee. Qualified in 2022, 4 years ago. Practices with Evans Medical Clinic, PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022

Practice location Address checks out

3493 Veterans Dr N Ste C
Huntingdon, TN 38344-6230
Phone: (731) 986-2933
Fax: (731) 986-2938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 631 Rb Wilson Dr, Huntingdon, TN 38344-1727 — (731) 986-7021

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5629 (TN)

Record details

NPI number1912649120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2022
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evans Medical Clinic, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Huntingdon