Active NPI
Donald Welch
- Family Nurse Practitioner
- Laurel, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 884785
- Practice address
- 1008 N 15TH Ave
Laurel, MS 39440-2656 - Phone
- (601) 426-5125
- Fax
- (601) 399-6281
- NPI assigned
- Jun 7, 2017
- Last updated
- Oct 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 884785 | MS | Primary |
Addresses
Primary practice location
1008 N 15TH Ave
Laurel, MS 39440-2656
Mailing address
PO Box 247
Laurel, MS 39441-0247
Phone (601) 399-6169
Other practice location 1
30 Circle J Dr
Ste 1
Laurel, MS 39440
Phone (601) 425-0092
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Jefferson St
Laurel, MS 39440-4306
1008 N 15TH Ave
Laurel, MS 39440-2656
Phone (601) 399-6169
1008 N 15TH St
OB/GYN Group of Laurel
Laurel, MS 39440-2656
Phone (601) 649-5421
3248 Hwy 49
Collins, MS 39428-3877
Phone 6018008580008580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 884785 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Family Clinic, LLC | Current | Accepting new patients |
Locations
3248 Highway 49
Collins, MS 39428
Phone (601) 800-8580
Interoperability endpoints
- donald.welch.1@21239.direct.athenahealth.com
- https://api.platform.athenahealth.com/21239/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Collins, MS
- NPI 1366075236
-
dba Ellisville Medical Clinic
- Family Medicine Physician
- Ellisville, MS
- NPI 1801226287
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Collins, MS
- NPI 1215965249
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
-
dba AccentCare Home Health of Jackson
- Home Health Agency
- Clinton, MS
- NPI 1356482749
-
- Critical Access Hospital
- Logan, OH
- NPI 1295840007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1265961932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "LAUREL",
"state": "MS",
"postal_code": "394410247",
"telephone_number": "601-399-6169",
"fax_number": "601-399-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 N 15TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394402656",
"telephone_number": "601-426-5125",
"fax_number": "601-399-6281"
}
],
"practiceLocations": [
{
"address_1": "30 Circle J Dr",
"address_2": "Ste 1",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MS",
"postal_code": "39440",
"country_code": "US",
"telephone_number": "601-425-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "DONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "884785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.