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

Mrs. Camellia Douglas, PMHNP

Individual provider Nurse Practitioner · NPI 1114445905

Mrs. Camellia Douglas, PMHNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8401 Medical Plaza Dr Ste 350
Charlotte, NC 28262-8700
Phone: (877) 306-1683
Fax: (980) 500-1522
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5009819 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5009819 (NC)

Record details

NPI number1114445905
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 1, 2017
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Charlotte