Individual provider · Type 1 NPI

Mackenzie Lyon Douglas

Physician Assistant · Augusta, GA

NPI number 1821909219 Active

Practice location

987 Saint Sebastian Way
Augusta, GA 30912-2613

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821909219

Mackenzie Lyon Douglas's National Provider Identifier is 1821909219, issued on Sep 15, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Augusta, GA. The record was last updated on Sep 15, 2026.