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

Maxwell Douglas

Individual provider Physician Assistant · NPI 1265279483

Maxwell Douglas is a Physician Assistant in Murfreesboro, Tennessee. Qualified in 2025, 1 year ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2024
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Practice location Address checks out

1034 N Highland Ave Ste C
Murfreesboro, TN 37130-2463
Phone: (615) 890-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2235 E McEwen Dr, Franklin, TN 37067-1470 — (615) 248-1261

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6692 (TN)

Record details

NPI number1265279483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address2235 E McEwen Dr, Franklin, TN 37067-1470

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Murfreesboro