JUSTIN DOUGLAS (NPI# 1073153433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153433 |
| Entity Type | Individual |
| Full Name | JUSTIN DOUGLAS |
| Practice Address |
427 Highway 51 N Brookhaven MS 39601-2350 |
| Practice Telephone | 6018359275 |
| Practice Fax Number | 8889656812 |
| Mailing Telephone | 6018359275 |
| Mailing Fax Number | 8889656812 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
854447 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682480 | Justin Lee Douglas | Dentist | 210 Granny White Pike, Brentwood, TN 37027-5744 | 2007-03-29 |
| 1841820099 | Justin D Douglas | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-01-16 |
| 1326210857 | Justin Wayne Douglas | Otolaryngology | 120 W Main St, Covington, VA 24426-1449 | 2008-03-25 |
| Street Address |
427 HIGHWAY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1427698885 | Linda Hughes | Specialist/Technologist, Other | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1922653849 | Tonya M Rushing | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-08-07 |
| 1083271407 | Monica Graves Eubanks | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-05-21 |
| 1225516354 | Whitehead Wound Care Pllc | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2018-07-31 |
| 1609311802 | Marcus L Johnson | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2016-12-23 |
| 1033549076 | Amy Katheryn Case | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-11-12 |
| 1639501380 | Tyler Thompson | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-08-05 |
| 1295005478 | Daniel Ben Goza | Nurse Anesthetist, Certified Registered | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851772404 | Surgical Assistant Solutions, LLC | Registered Nurse | 3522 Ashford Dunwoody Rd Ne # 141, Brookhaven, GA 30319-2002 | 2015-06-09 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942693684 | Meggan Reisch | Registered Nurse | 2600 Parkwood Pl, Ocean Springs, MS 39564-4213 | 2015-03-05 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1457764227 | Joseph Matthew Barnett | Registered Nurse | 7542a Luther Rd, Summit, MS 39666-5511 | 2014-06-09 |
| 1801178611 | Dovie Christine Pryor | Registered Nurse | 6105 Autumn Oaks Dr, Olive Branch, MS 38654-6611 | 2011-09-16 |
| 1801405923 | Melinda Bozeman | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-24 |
| 1962045765 | Melissa Dedeaux | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2019-10-24 |
| 1124511563 | Houston Surgical Resources LLC | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2018-06-11 |
| 1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
| 1629589312 | Lisa Ann Butler | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-10-20 |
| 1659882348 | Amy Covington Odom | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.