Douglas Nathaniel Dow, PA-C
Physician Assistant, Medical in Columbia, SC. Individual provider (NPI-1).
NPI number1760636708
StatusActive
Last updated in NPPESJul 2, 2021
Details
- NPI
- 1760636708
- Entity type
- Individual (NPI-1)
- Name
- Douglas Nathaniel Dow
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2008
- Certification date
- Jul 2, 2021
- Last updated
- Jul 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2762 | SC | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363AS0400X | Physician Assistant, Surgical | 2762 | SC |
Practice location
14 Richland Medical Park Dr Ste 200Columbia, SC 29203-6882
Phone 803-296-7846 · Fax 803-296-9699
Mailing address
Po Box 743904Atlanta, GA 30374-3904
Phone 803-296-7320 · Fax 803-296-7330
Other practice locations
101 Business Park Blvd
Columbia, SC 29203-8401
Columbia, SC 29203-8401
Phone 803-296-9230
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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