Active NPI
Ryane Plaster Doty, NP
- Psychiatric/Mental Health Nurse Practitioner
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 902854
- Practice address
- 740 Avignon Dr Ste C
Ridgeland, MS 39157-5160 - Phone
- (601) 937-4552
- Fax
- (844) 374-4872
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 902854 | MS | Primary |
Addresses
Primary practice location
740 Avignon Dr Ste C
Ridgeland, MS 39157-5160
Mailing address
379 Williams Rd
Florence, MS 39073-7954
Phone (601) 919-5807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902854 | Other | MS | MS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Mississippi School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3531 Lakeland Dr
Flowood, MS 39232-8049
Phone (601) 955-2656
3600 Bluecutt Rd
Columbus, MS 39705-1303
Phone (662) 570-4770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902854 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dutch Medical Clinics, Inc | Current | Accepting new patients | |
| Victoria L Carroll, Pmhnp-BC, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Balance Behavioral Health | Current | Accepting new patients |
Locations
3600 Bluecutt Rd
Ste 200
Columbus, MS 39705
Phone (844) 728-4929
56 Dutch Ln
Columbus, MS 39702
Phone (662) 329-3808
3654B New Hope Rd
Columbus, MS 39702
Phone (662) 329-1488
3600 Bluecutt Rd
Ste 201
Columbus, MS 39705
Phone (662) 329-3973
3600 Bluecutt Rd
Columbus, MS 39705
Phone (662) 570-4770
3531 Lakeland Dr
Jackson, MS 39232
Phone (601) 936-2024
740 Avignon Dr
Ste C
Ridgeland, MS 39157
Phone (601) 937-4552
Interoperability endpoints
- ryane.doty.1@17762.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Jackson, MS
- NPI 1255818076
-
- Multi-Specialty Clinic/Center
- Columbus, MS
- NPI 1215276175
-
- Psychiatric/Mental Health Nurse Practitioner
- Ridgeland, MS
- NPI 1679387286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1528531985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 WILLIAMS RD",
"city": "FLORENCE",
"state": "MS",
"postal_code": "390737954",
"telephone_number": "601-919-5807",
"fax_number": "844-374-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 AVIGNON DR STE C",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575160",
"telephone_number": "601-937-4552",
"fax_number": "844-374-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTY",
"first_name": "RYANE",
"middle_name": "PLASTER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "902854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS LICENSE",
"identifier": "902854",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.