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

John Mason Douglas, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1730566175

John Mason Douglas, FNP-BC is a Nurse Practitioner in Lewisburg, Tennessee. Qualified in 2015, 11 years ago. Practices with Maury Regional Hospital, a 30-clinician group. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2015
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1090 N Ellington Pkwy
Lewisburg, TN 37091-2227
Phone: (931) 359-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22447 (TN)

Record details

NPI number1730566175
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMay 6, 2015
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Maury Regional Hospital — 30 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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