| Michael Douglas Collins, NP | |
|
109 N Front Street, Sandersville, MS 39477-0001 | |
| (601) 490-7190 | |
| (601) 490-7191 |
| Full Name | Michael Douglas Collins |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 109 N Front Street, Sandersville, 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 |
|---|---|---|---|
| 1144532086 | NPI | - | NPPES |
| 02879874 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R867311 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Laurel Family Medicine Llc | 0244584241 | 8 |
| Entity Name | Calhoun Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558713511 PECOS PAC ID: 0941596084 Enrollment ID: O20160915001795 |
| Entity Name | North Laurel Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265921985 PECOS PAC ID: 0244584241 Enrollment ID: O20181109001743 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Douglas Collins, NP 3115 Audubon Dr, Laurel, MS 39440-1913 Ph: (601) 531-2200 | Michael Douglas Collins, NP 109 N Front Street, Sandersville, MS 39477-0001 Ph: (601) 490-7190 |
Kayla Marie Cooley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 N Front St, Sandersville, MS 39477 Phone: 601-490-7190 Fax: 601-490-7191 | |
Donna Lauren Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Front St, Sandersville, MS 39477 Phone: 601-490-7190 |