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

Dr. Douglas B Widener, MD

Individual provider Orthopaedic Surgery Physician · NPI 1104088566

Dr. Douglas B Widener, MD is an Orthopedic Surgery in Canton, Georgia. Graduated from Medical College of Georgia School of Medicine in 2008, 18 years ago. Practices with Resurgens, LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1495 Hickory Flat Hwy Ste 200
Canton, GA 30115-4229
Phone: (678) 505-4455
Fax: (678) 505-4446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 063452 (GA)

Record details

NPI number1104088566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2008
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address1495 Hickory Flat Hwy Ste 200, Canton, GA 30115-4229

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Resurgens, Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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