DR. SHELLI DOUGLAS DC
NPI 1306500533
Chiropractor in Rome, GA
NPI Status: Active since October 25, 2021
Contact Information
508 RIVERSIDE PKWY NE STE 300
ROME, GA
ZIP 30161
Phone: (404) 904-5096
- Individual
- Female
- Years of Experience 5
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About SHELLI DOUGLAS
This page provides the complete NPI Profile along with additional information for Shelli Douglas, a provider established in Rome, Georgia with a medical specialization in Chiropractor and more than 5 years of experience. She graduated from Life Chiropractic College in 2021. The healthcare provider is registered in the NPI registry with number 1306500533 assigned on October 2021. The practitioner's primary taxonomy code is 111N00000X with license number CHIR010642 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1306500533
- Provider Name
- DR. SHELLI DOUGLAS DC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 508 RIVERSIDE PKWY NE STE 300 ROME, GA 30161
- Location Phone
- (404) 904-5096
- Mailing Address
- 19 DEVONSHIRE DR SE ROME, GA 30161
- Mailing Phone
- (404) 904-5096
- Medical School Name
- LIFE CHIROPRACTIC COLLEGE
- Graduation Year
- 2021
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-25-2021
- Last Update Date
- 07-25-2022
- Code Navigator
A chiropractor like Shelli Douglas helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- CHIR010642
- License State
- GA
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Shelli Douglas is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1153710488
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20211108002039
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 5 | 0 | 0 | 5 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 10 | 0 | 0 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 0 + 0 + 0 + 5 + 6 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1306500533 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306500533, enumerated in the NPI registry as an "individual" on October 25, 2021
The provider is located at 508 Riverside Pkwy Ne Ste 300 Rome, Ga 30161 and the phone number is (404) 904-5096
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 5 years of experience. She graduated from Life Chiropractic College in 2021.
The provider might be accepting Accepts: Alliant Health Plans, Inc. and Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 25, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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