Individual provider Active NPI

Mercades Dooley

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1215803192
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907745 Issued in MS
Practice address
2225 Highway 45 N
Columbus, MS 39705-1742
Phone
(662) 245-5286
NPI assigned
Oct 16, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907745 MS Primary

Addresses

Primary practice location

2225 Highway 45 N
Columbus, MS 39705-1742

Mailing address

2225 Highway 45 N
Columbus, MS 39705-1742

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260107003671 MS Practitioner - Nurse Practitioner 4385120583 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
907745MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 20, 2026 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jan 20, 2026 Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Jan 1, 2026 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 25, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

2225 Highway 45 N
Columbus, MS 39705
Phone (662) 245-5286

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

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

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

4566 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-4962

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1215803192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051742",
            "telephone_number": "662-245-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "MERCADES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.