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

Mr. Nelson Parks Douglass, MD

Individual provider Clinical Neurophysiology Physician · NPI 1912585357

Mr. Nelson Parks Douglass, MD is a Neurology in Salt Lake City, Utah. Graduated from University of Mississippi School of Medicine in 2021, 5 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi and Utah.

Years since qualifying
5
Trained at
University of Mississippi School of Medicine
Licensed in
MS, UT
In the registry since
2021
Specialties on file
3
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

175 N Medical Dr Rm 5001
Salt Lake City, UT 84112-1103
Phone: (801) 581-2121
Show map & directions

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

Additional practice locations (2)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 984-1000
  • 5171 S Cottonwood St Ste 810, Murray, UT 84107-5705 — (801) 507-9800

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 14206306-1205 (UT)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 14206306-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1912585357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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