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

Miracle R Woodard

Individual provider Family Nurse Practitioner · NPI 1922695964

Miracle R Woodard is a Nurse Practitioner in Gautier, Mississippi. Qualified in 2024, 2 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Connecticut, Florida, Mississippi and Tennessee and 1 more.

Years since qualifying
2
Licensed in
CT, FL, MS, TN, TX
In the registry since
2020
Specialties on file
6
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Practice location Address checks out

3265 Highway 90
Gautier, MS 39553-5121
Phone: (228) 366-9136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907198 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1227864 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 16329 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TPAN4083 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 40607 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 913842 (MS)

Record details

NPI number1922695964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2020
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gautier