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

Sumner B Douglas, NP

Individual provider Family Nurse Practitioner · NPI 1548821333

Sumner B Douglas, NP is a Nurse Practitioner in Madison, Mississippi. Qualified in 2018, 8 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

401 Baptist Dr Ste 1040
Madison, MS 39110-2009
Phone: (601) 605-2383
Fax: (601) 605-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1340 Broad Ave Ste 320, Gulfport, MS 39501-2464 — (228) 575-1775

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903149 (MS)

Record details

NPI number1548821333
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020
Mailing address965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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