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

Rebecca M Douglas, PA-C

Individual provider Physician Assistant · NPI 1225698467

Rebecca M Douglas, PA-C is a Physician Assistant in Edgewood, Kentucky. Qualified in 2018, 8 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
8
Licensed in
IN, KY
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

610 Medical Village Dr
Edgewood, KY 41017-3416
Phone: (859) 757-2132
Fax: (859) 301-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2507 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 10003835A (IN)
Physician Assistant Taxonomy 363A00000X · Licence TH0004004 (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225698467
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 19, 2019
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Edgewood