Individual provider Active NPI

Mindy Manning Douglas, CRNA

  • Certified Registered Nurse Anesthetist
  • Batesville, MS
National Provider Identifier
1679913750
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
8249 Issued in NC
Practice address
303 Medical Center Dr
Batesville, MS 38606-8608
Phone
(866) 362-6963
Fax
(866) 362-4202
NPI assigned
Jul 3, 2013
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 8249 NC Primary
Certified Registered Nurse Anesthetist 367500000X 21221 TN
Certified Registered Nurse Anesthetist 367500000X 876132 MS

Addresses

Primary practice location

303 Medical Center Dr
Batesville, MS 38606-8608

Mailing address

716 W Brookhaven Cir
Memphis, TN 38117-4504
Phone (901) 844-1590

Other practice location 1

1208 Office Park Dr
Oxford, MS 38655-3597
Phone (662) 234-9888

Other identifiers 1

IdentifierTypeStateIssuer
200001877MedicaidMS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131218000286 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911134044 Reassigns benefits to 5 organizations
I20160621001583 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911134044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Health Services IncGroup PAC ID 8224376561, 33 clinicians
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500

111 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 494-1509

1208 Office Park Dr
Oxford, MS 38655-3597
Phone (662) 294-9888

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (601) 494-2321

187 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 492-3175

634 Leigh Dr
Columbus, MS 39705-3014
Phone (866) 362-6963

830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258

830 S Gloster St
Tupelo, MS 38801-4934

830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
876132MSMDCertified Registered Nurse Anesthetist
8249NCMDCertified Registered Nurse Anesthetist
21221TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Health Services, Inc. CurrentSince Sep 16, 2025 Accepting new patients
Gastroenterology Center of the Midsouth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2023 Accepting new patients
Monroe Health Services, Inc. CurrentSince Sep 16, 2025 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2025 Accepting new patients
North Mississippi Medical Center CurrentSince Sep 8, 2025 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Sep 8, 2025 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

1208 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

716 W Brookhaven Cir
Memphis, TN 38117
Phone (901) 531-7200

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

Organizations & group practices 10

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 3

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1679913750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174504",
            "telephone_number": "901-844-1590",
            "fax_number": "901-844-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "866-362-6963",
            "fax_number": "866-362-4202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386553597",
            "country_code": "US",
            "telephone_number": "662-234-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MINDY",
        "middle_name": "MANNING",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "8249",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "21221",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "876132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200001877",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.