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

Michella Glenna Douglas, PA-C

Individual provider Surgical Physician Assistant · NPI 1053949586

Michella Glenna Douglas, PA-C is a Physician Assistant in Germantown, Tennessee. Qualified in 2020, 6 years ago. Practices with Campbell Clinic, PC, a 225-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone: (901) 759-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 — (901) 226-0456

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4234 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4234 (TN)

Record details

NPI number1053949586
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

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 Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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