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

Charity Douglas

Individual provider Nurse Practitioner · NPI 1265904890

Charity Douglas is a Nurse Practitioner in Corbin, Kentucky. Qualified in 2018, 8 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
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Practice location Address checks out

45 Moonbow Plz
Corbin, KY 40701-8949
Phone: (606) 523-9010
Fax: (606) 528-0028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3013049 (KY)

Record details

NPI number1265904890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2018
Last updated in NPPESJanuary 23, 2019
Mailing addressPo Box 1325, Corbin, KY 40702-1325

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Corbin