Individual provider Active NPI

Caroline Douglass Peeples, NP

  • Women's Health Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1598328684
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
903668 Issued in MS
Practice address
1020 River Oaks Dr Ste 310
Flowood, MS 39232-9512
Phone
(601) 932-5006
NPI assigned
Apr 15, 2019
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 903668 MS Primary
Registered Nurse 163W00000X 903979 MS

Addresses

Primary practice location

1020 River Oaks Dr Ste 310
Flowood, MS 39232-9512

Mailing address

263 Whippoorwill LN
Ridgeland, MS 39157-9467

Other practice location 1

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-5600

Other practice location 2

501 Marshall St
Jackson, MS 39202-1651
Phone (601) 354-0869

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
I20201008000586 MS Practitioner - Nurse Practitioner 7618396805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

1020 River Oaks Dr
Flowood, MS 39232-9512

2610 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-1731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903979MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Women's Health, PLLC CurrentSince Apr 16, 2021 Accepting new patients
Southern Women's Health, PLLC CurrentSince Apr 16, 2021 Accepting new patients
Oxford Clinic for Women, PLLC Current Accepting new patients
Caroline a Reich MD PC CurrentSince Jun 24, 2020 Accepting new patients

Locations

1020 River Oaks Dr
Ste 310
Jackson, MS 39232
Phone (601) 352-5030

501 Marshall St
Ste 400
Jackson, MS 39202
Phone (601) 354-0869

401 Baptist Dr
Ste 402
Madison, MS 39110
Phone (601) 354-0869

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

Interoperability endpoints

  • Direct secure messaging: caroline.peeples.1@28954.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1598328684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 WHIPPOORWILL LN",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVER OAKS DR STE 310",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329512",
            "telephone_number": "601-932-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021651",
            "country_code": "US",
            "telephone_number": "601-354-0869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "CAROLINE",
        "middle_name": "DOUGLASS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "903668",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "903979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.