Individual provider Active NPI

Terri Peyton Dooley

  • Family Nurse Practitioner
  • Yazoo City, MS
National Provider Identifier
1770075665
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902655 Issued in MS
Practice address
805 E Fifteenth St
Yazoo City, MS 39194-7607
Phone
(662) 746-6083
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902655 MS Primary

Addresses

Primary practice location

805 E Fifteenth St
Yazoo City, MS 39194-7607

Mailing address

3173 Nod Rd
Benton, MS 39039-8388
Phone (662) 571-3225

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
I20181114003031 MS Practitioner - Nurse Practitioner 7618221441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yazoo Family Medicine PAGroup PAC ID 3476620741, 3 clinicians

Practice addresses (Care Compare)

805 E Fifteenth St
Yazoo City, MS 39194-7607
Phone (662) 746-6083

Hospital & facility affiliations

  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Adoration Home Health and Hospice Care Mississippi Home health agency, Indianola, MS, CCN 257101
  • Baptist Medical Center-Yazoo Hospital, Yazoo City, MS, CCN 251313
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
88.75
Promoting interoperability
100
Improvement activities
40
Cost
47.53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yazoo Family Medicine PA CurrentSince Sep 24, 2018 Accepting new patients
Yazoo City Medical Clinic PA Past Accepting new patients

Locations

805 E Fifteenth St
Yazoo City, MS 39194
Phone (601) 746-6083

Interoperability endpoints

  • Direct secure messaging: tdooley192261@direct.bmhcc.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1770075665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 NOD RD",
            "city": "BENTON",
            "state": "MS",
            "postal_code": "390398388",
            "telephone_number": "662-571-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E FIFTEENTH ST",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391947607",
            "telephone_number": "662-746-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "TERRI",
        "middle_name": "PEYTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.