Garrett Douglas

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

882599 Issued in MS

Practice address

415 S 28TH Ave
Hattiesburg, MS 39401-7246

Phone

(601) 268-5650

Fax

(601) 579-5212

NPI assigned

Jun 2, 2015

Last updated

May 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• Marion General Hospital Hospital, Columbia, MS, CCN 250085
• Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

Merit-based Incentive Payment System (MIPS)

Final score

58.75 of 100Reported as group

Quality

26.99

Improvement activities

40

Cost

71.92

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Clinic at Farmers Medshoppe

  • Primary Care Clinic/Center
  • Foxworth, MS
  • NPI 1487972568
  Medicare reassignment NPD
• Medical Services of Meridian, Inc.

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1174095988

  MS

  Medicare reassignment NPD
• Hattiesburg Clinic PA

  • Multi-Specialty Clinic/Center
  • Hattiesburg, MS
  • NPI 1740213446
  Medicare reassignment
• Homedica of Mississippi, LLC

  • Case Manager/Care Coordinator
  • Gulfport, MS
  • NPI 1841622628
  NPD
• St Michael Urgent Care of Hattiesburg LLC

  • Urgent Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1396015087
  NPD
• St Michaels Urgent Care of Hattiesburg

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1124459136
  NPD
• Homedica of Louisiana, LLC

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
  • NPI 1174866479
  NPD

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

• Forrest County General Hospital

  • General Acute Care Hospital
  • Hattiesburg, MS
  • NPI 1225041809
  Care Compare affiliation
• Forrest County General Hospital

  dba Marion General Hospital

  • General Acute Care Hospital
  • Columbia, MS
  • NPI 1427320993
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1477933745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 GOOD HOPE RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394298914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-268-5650",
            "fax_number": "601-579-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Williamsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MS",
            "postal_code": "394298862",
            "country_code": "US",
            "telephone_number": "601-456-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Broad Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012416",
            "country_code": "US",
            "telephone_number": "601-456-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "882599",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "882599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DJ Shuttle & Tour Service, Inc.
• William Duncan Donald III, M.D.
• Courtney Nicole Dossett
• Amy R Douglas, DNP, FNP-BC, WHNP-BC
• Christopher John Douglas, M.D.
• Laurie Evans Douglas, MD
• Sean Philip Douglas, MD
• Abigail Douglass
• Doves Home Care
• Lisa Cothren Dowden, CCC-SLP

• Acute Care Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.