Dr John Allen Douglas Iii, MD - Medicare Family Practice in Kennesaw, GA

Dr John Allen Douglas Iii, MD is a medicare enrolled "Family Medicine" physician in Kennesaw, Georgia. He went to University Of Maryland School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and his current practice location is 3805 Cherokee St Nw, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 426-5666.

Dr John Allen Douglas Iii is licensed to practice in Georgia (license number 72824) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316175797.

Contact Information

Dr John Allen Douglas Iii, MD
3805 Cherokee St Nw,
Kennesaw, GA 30144-2085
(770) 426-5666
(770) 420-1794

Map and Direction




Physician's Profile

Full NameDr John Allen Douglas Iii
GenderMale
SpecialityFamily Practice
Experience15 Years
Location3805 Cherokee St Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Allen Douglas Iii attended and graduated from University Of Maryland School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1316175797
  • Provider Enumeration Date: 06/24/2009
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820233273
  • Enrollment ID: I20130408000031

Medical Identifiers

Medical identifiers for Dr John Allen Douglas Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316175797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D74188 (Maryland)Secondary
207Q00000XFamily Medicine 72824 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc37794958581628

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Allen Douglas Iii allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Allen Douglas Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Allen Douglas Iii, MD
3805 Cherokee St Nw,
Kennesaw, GA 30144-2085

Ph: (770) 426-5666
Dr John Allen Douglas Iii, MD
3805 Cherokee St Nw,
Kennesaw, GA 30144-2085

Ph: (770) 426-5666

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.