| Garrett Douglas, | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 268-5650 | |
| (601) 579-5212 |
| Full Name | Garrett Douglas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 415 S 28th Ave, Hattiesburg, 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 |
| 007953363 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 882599 (Mississippi) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 882599 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke Home Health Services | Mccomb, MS | Home health agency |
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Marion General Hospital | Columbia, MS | Hospital |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| 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, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5650 |
Mrs. Merrick Greene Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 Phone: 601-554-7400 | |
Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321 | |
Sarah Alyssa Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
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 Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500 | |
Kisha L Knight, FNP-BC Nurse Practitioner 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 Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212 |