Michael Douglas Collins, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R867311 Issued in MS

Practice address

109 N Front Street
Sandersville, MS 39477-0001

Phone

(601) 490-7190

Fax

(601) 490-7191

NPI assigned

Jul 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Laurel Family Medicine LLCGroup PAC ID 0244584241, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.collins.1@22845.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22845/brand/1/csg/1/fhir/r4

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

• North Laurel Family Medicine, LLC

  • Nurse Practitioner
  • Laurel, MS
  • NPI 1265921985
  Medicare reassignment Care Compare group NPD
• Calhoun Medical Clinic, LLC

  • Family Medicine Physician
  • Laurel, MS
  • NPI 1558713511
  NPD

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

• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation
• South Mississippi Home Health, Inc. - Region I

  • Home Health Agency
  • Laurel, MS
  • NPI 1326039470
  Care Compare affiliation

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1144532086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401913",
            "telephone_number": "601-531-2200",
            "fax_number": "601-531-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FRONT STREET",
            "city": "SANDERSVILLE",
            "state": "MS",
            "postal_code": "394770001",
            "telephone_number": "601-490-7190",
            "fax_number": "601-490-7191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Audubon Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "39440",
            "country_code": "US",
            "telephone_number": "601-531-2200",
            "fax_number": "601-531-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R867311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02879874",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Cooley, FNP-C
• Family Health Center, Inc
• Donna Lauren Johnson, FNP-C
• Prosperity of Care LLC
• South Central Clinics, Inc

• Nurse Practitioner in Sandersville, MS
• Providers in Sandersville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.