Active NPI
Mindy Manning Douglas, CRNA
- Certified Registered Nurse Anesthetist
- Batesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8249
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200001877 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876132 | MS | MD | Certified Registered Nurse Anesthetist |
| 8249 | NC | MD | Certified Registered Nurse Anesthetist |
| 21221 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Gastroenterology Center of the Midsouth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| G I Diagnostic and Therapeutic Center LLC | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Mississippi Medcial Center, Inc. | Current | 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.
-
dba CRNA Services Amory
- Anesthesiology Physician
- Amory, MS
- NPI 1619559309
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Associates In Gastroenterology
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
dba Clay County Med Ctr - ER Phys
- Emergency Care Clinic/Center
- West Point, MS
- NPI 1578670972
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Nurse Anesthetist, Certified Registered
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
dba NMMC - CRNA Anesthesia Service
- Anesthesiology Physician
- Tupelo, MS
- NPI 1730283896
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
dba Clay County Medical Center
- General Acute Care Hospital
- West Point, MS
- NPI 1639284409
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
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
- Lucretia Palmertree Dettor, LMSW
- Hannah Waldrip Devazier, AGPCNP-C
- Dignity & Mercy Adult Day Services
- Diversicare of Batesville, LLC (Diversicare of Batesville)
- Dmed
- Downtown Family Clinic
- Keenya J. Dudley, CCC-SLP
- Elizabeth J Duncan, PMHNP, FNP
- Cedric Edwards, M.D.
- Elizabeth Ferretti Edwards, FNP-C
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.