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

Dr. John Allen Douglas III, MD

Individual provider Family Medicine Physician · NPI 1316175797

Dr. John Allen Douglas III, MD is a Family Practice in Kennesaw, Georgia. Graduated from University of Maryland School of Medicine in 2009, 17 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
17
Trained at
University of Maryland School of Medicine
Licensed in
GA, MD
In the registry since
2009
Specialties on file
2
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

3805 Cherokee St NW
Kennesaw, GA 30144-2085
Phone: (770) 426-5666
Fax: (770) 420-1794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72824 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence D74188 (MD)

Record details

NPI number1316175797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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