Healthcare Provider Details

I. General information

NPI: 1669385985
Provider Name (Legal Business Name): DOUGLAS H NESBIT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 AUGUSTA WEST PKWY
AUGUSTA GA
30909-1807
US

IV. Provider business mailing address

1230 AUGUSTA WEST PKWY
AUGUSTA GA
30909-1854
US

V. Phone/Fax

Practice location:
  • Phone: 706-868-0380
  • Fax:
Mailing address:
  • Phone: 706-868-0380
  • Fax: 706-868-1163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: TERRI COOK
Title or Position: PRACTICE MANAGER
Credential:
Phone: 706-495-9627