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

Maxwell Douglas

Individual provider Physician Assistant · NPI 1265279483

Maxwell Douglas is a Physician Assistant in Murfreesboro, Tennessee. Qualified in 2025, 1 year ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2024
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Practice location Address checks out

1034 N Highland Ave Ste C
Murfreesboro, TN 37130-2463
Phone: (615) 890-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2235 E McEwen Dr, Franklin, TN 37067-1470 — (615) 248-1261

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6692 (TN)

Record details

NPI number1265279483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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