Individual provider Active NPI

Douglas Tucker, M.D.

  • Anesthesiology Physician
  • Starkville, MS
National Provider Identifier
1043574445
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23632 Issued in MS
Practice address
107 Doctors Park
Starkville, MS 39759-2174
Phone
(662) 615-3751
Fax
(662) 615-3754
NPI assigned
Jun 29, 2012
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23632 MS Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 23632 MS

Addresses

Primary practice location

107 Doctors Park
Starkville, MS 39759-2174

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

6800 W Layton Ave
Greenfield, WI 53220-3819
Phone (225) 907-8386

Other practice location 2

400 Hospital RD
Starkville, MS 39759-2163
Phone (662) 323-4230

Other practice location 3

2500 N State St
Department of Anesthesiology
Jackson, MS 39216-4500
Phone (601) 984-5914

Other practice location 4

970 Lakeland Dr Ste 45
Jackson, MS 39216-4640
Phone (601) 200-4690

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dtucker5220964@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160913002675 MS Practitioner - Anesthesiology 7810213659 Reassigns benefits to 13 organizations
I20240712000128 AL Practitioner - Family Practice 7810213659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tombigbee Healthcare AuthorityGroup PAC ID 6709873235, 41 clinicians
Och Professional ServicesGroup PAC ID 9739252396, 31 clinicians
Pain Management Ctr MeridianGroup PAC ID 8224080247, 7 clinicians

Practice addresses (Care Compare)

105 US Hwy 80 E
Demopolis, AL 36732-3605
Phone (334) 289-4000

107 Doctors Park
Starkville, MS 39759-2174
Phone (662) 615-3751

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5600

119 Noahs Mill Rd
Madison, MS 39110-7674
Phone (769) 229-3758

3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23632MSMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Oct 29, 2019 Accepting new patients
Oktibbeha County Hospital Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Medflow Solutions LLC CurrentSince Aug 8, 2023 Accepting new patients
Pain Management Ctr Meridian Pain Medicine CurrentSince Aug 15, 2025 Accepting new patients
Och Professional Services Anesthesiology CurrentSince Mar 16, 2025 Accepting new patients
Tombigbee Healthcare Authority CurrentSince May 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 22, 2016 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Virtual Care Network LLC CurrentSince Mar 4, 2025 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Jan 1, 2026 Accepting new patients
Russellville Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Specialty Orthopedic Group of Ms, PLLC CurrentSince Sep 10, 2021 Accepting new patients
Ms Pain Institute Oxford PLLC CurrentSince Oct 17, 2024 Accepting new patients
Tombigbee Healthcare Authority CurrentSince May 1, 2024 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Current Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Oct 29, 2019 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Jan 1, 2026 Accepting new patients
Russellville Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Sep 10, 2021 Accepting new patients
Southern Bone & Joint Specialists, PA CurrentSince Dec 1, 2020 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Southern Bone & Joint Specialists CurrentSince Dec 1, 2020 Accepting new patients
Och Center for Pain Management CurrentSince Jan 7, 2020 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Aug 22, 2016 Accepting new patients
Advanced Interventional Specialist PLLC Pain Medicine PastSince Mar 11, 2025 Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Past Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Past Accepting new patients
Tombigbee Healthcare Authority Past Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

105 US Highway 80 E
#230
Demopolis, AL 36732

105 US Highway 80 E
Ste 230
Demopolis, AL 36732
Phone (334) 287-2840

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

2215 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 234-3303

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

107 Doctors Park
Starkville, MS 39759
Phone (662) 323-4427

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

Interoperability endpoints

  • Direct secure messaging: douglastucker@och.allscriptsdirect.net
  • Direct secure messaging: dtucker5220964@direct.casso.us.com

Organizations & group practices 31

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 31

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1043574445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592174",
            "telephone_number": "662-615-3751",
            "fax_number": "662-615-3754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 W Layton Ave",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532203819",
            "country_code": "US",
            "telephone_number": "225-907-8386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hospital RD",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592163",
            "country_code": "US",
            "telephone_number": "662-323-4230",
            "fax_number": "662-615-2554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_2": "Department of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5914",
            "fax_number": "601-984-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Lakeland Dr Ste 45",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164640",
            "country_code": "US",
            "telephone_number": "601-200-4690",
            "fax_number": "601-200-4698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "23632",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "23632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtucker5220964@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dtucker5220964@direct.casso.us.com",
            "address_1": "970 Lakeland Dr Ste 45",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "970 Lakeland Dr Ste 45",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.