Garrett Douglas, | |
62 Highway 587, Foxworth, MS 39483-5026 | |
(601) 424-3540 | |
Not Available |
Full Name | Garrett Douglas |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 62 Highway 587, Foxworth, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477933745 | NPI | - | NPPES |
07953363 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R882599 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 882599 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
Forrest General Hospital | Hattiesburg, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Homedica Of Louisiana, Llc | 4789825837 | 27 |
Medical Services Of Meridian Inc | 7315285376 | 19 |
The Clinic At Farmers Medshoppe | 2466584982 | 2 |
Entity Name | The Clinic At Farmers Medshoppe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487972568 PECOS PAC ID: 2466584982 Enrollment ID: O20100720000325 |
Entity Name | St Michael Urgent Care Of Hattiesburg Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396015087 PECOS PAC ID: 1153583091 Enrollment ID: O20120510000221 |
Entity Name | Keystone Hospitalist Services Of Ms Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
Entity Name | Keystone Medical Services Of Gulfport Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881070183 PECOS PAC ID: 7113221011 Enrollment ID: O20160215000517 |
Entity Name | Medical Services Of Meridian Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
Entity Name | Homedica Of Louisiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174866479 PECOS PAC ID: 4789825837 Enrollment ID: O20200210002042 |
Mailing Address | Practice Location Address |
---|---|
Garrett Douglas, 37 Good Hope Rd, Columbia, MS 39429-8914 Ph: () - | Garrett Douglas, 62 Highway 587, Foxworth, MS 39483-5026 Ph: (601) 424-3540 |
Michael W Johnson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Highway 587, Foxworth, MS 39483 Phone: 601-424-3540 | |
Lloyd Clifton Stringer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 New Hope Kokomo Rd, Foxworth, MS 39483 Phone: 601-520-2596 | |
Brittney Evette Bracey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Pine Grove Church Rd, Foxworth, MS 39483 Phone: 601-731-4504 | |
Jackie B Stuckey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Highway 587, Foxworth, MS 39483 Phone: 601-424-3540 Fax: 601-424-3544 |