Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Garrett Douglas

Individual provider Family Nurse Practitioner · NPI 1477933745

Garrett Douglas is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2015, 11 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 268-5650
Fax: (601) 579-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1119 Williamsburg Rd, Columbia, MS 39429-8862 — (601) 456-5100
  • 1240 Broad Ave Ste B, Gulfport, MS 39501-2416 — (601) 456-5100

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 882599 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 882599 (MS)

Record details

NPI number1477933745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2015
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Hattiesburg