Individual provider Active NPI

Ryane Plaster Doty, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1528531985
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
902854 Issued in MS
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

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
902854OtherMSMS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190213002056 MS Practitioner - Nurse Practitioner 6901144187 Reassigns benefits to 2 organizations
I20240424003144 TN Practitioner - Nurse Practitioner 6901144187

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
Balance Behavioral HealthGroup PAC ID 7810223559, 5 clinicians
Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

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

LicenseStateTypeSpecialty
902854MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dutch Medical Clinics, Inc CurrentSince May 1, 2025 Accepting new patients
Victoria L Carroll, Pmhnp-BC, LLC Psychiatric/Mental Health CurrentSince May 4, 2025 Accepting new patients
Balance Behavioral Health CurrentSince Dec 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.