Amy R Douglas, DNP, FNP-BC, WHNP-BC - Medicare Nurse Practitioner in Hattiesburg, MS

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Amy R Douglas, DNP, FNP-BC, WHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hattiesburg, Mississippi. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ocean Springs Urgent Care, Hattiesburg Clinic Pa, Maxem Health Urgent Care Magee and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 288-4329.

Amy R Douglas is licensed to practice in Mississippi (license number 857450) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801199666.

Contact Information

Amy R Douglas, DNP, FNP-BC, WHNP-BC
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 288-4329
Not Available

Map and Direction




Provider's Profile

Full NameAmy R Douglas
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy R Douglas graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1801199666
  • Provider Enumeration Date: 12/15/2010
  • Last Update Date: 03/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557585759
  • Enrollment ID: I20140609001912

Medical Identifiers

Medical identifiers for Amy R Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801199666NPI-NPPES
00127100MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health R857450 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 857450 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Springs Urgent Care024442619515
Hattiesburg Clinic Pa5193706794492
Maxem Health Urgent Care Magee953741964314

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. Amy R Douglas allows following entities to bill medicare on her behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NameOcean Springs Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871808022
PECOS PAC ID: 0244426195
Enrollment ID: O20101118000444
Entity NameTrustcare Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427338235
PECOS PAC ID: 0547427858
Enrollment ID: O20120127000834
Entity NameHattiesburg Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164805156
PECOS PAC ID: 4981913308
Enrollment ID: O20151024000062
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameMaxem Health Urgent Care Magee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235669136
PECOS PAC ID: 9537419643
Enrollment ID: O20180912000183

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. Amy R Douglas 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
Amy R Douglas, DNP, FNP-BC, WHNP-BC
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 579-5400		Amy R Douglas, DNP, FNP-BC, WHNP-BC
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 288-4329

Reviews and Comments


Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Merrick Greene Jackson, NP
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Practice Location: 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401
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Mrs. Lisa Deloris Slade, FNP-BC
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Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401
Phone: 601-450-0310    Fax: 601-450-0321
Sarah Alyssa Smith, FNP-C
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Practice Location: 5001 Hardy St, Hattiesburg, MS 39402
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Lyndell Sue Lee, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6051 Highway 49, Hattiesburg, MS 39401
Phone: 601-288-7000    
Ms. Laura Claire Singley, WHNP
Nurse Practitioner
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Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401
Phone: 601-544-4500    
Kisha L Knight, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401
Phone: 601-450-6500    Fax: 601-450-6503
Melissa Ruth Tolar, FNP
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Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401
Phone: 601-288-1212    

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.