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

Coleman Douglas, PA

Individual provider Medical Physician Assistant · NPI 1518551365

Coleman Douglas, PA is a Physician Assistant in Springfield, Missouri. Qualified in 2020, 6 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3801 S National Ave
Springfield, MO 65807-5210
Phone: (417) 269-4983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 Branson Landing Blvd, Branson, MO 65616-2052 — (417) 875-2627

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2021006397 (MO)

Record details

NPI number1518551365
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Springfield