1. Home
  2. Directory
  3. Mississippi
  4. Madison
  5. Nurse Practitioner
  6. NPI Profile

PEACE OF MIND HEALTH AND WELLNESS
NPI 1245103217
Nurse Practitioner - Psychiatric/Mental Health in Madison, MS

Active since September 25, 2025
105 EXECUTIVE DR STE A, MADISON, MS 39110(601) 540-5900 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peace Of Mind Health And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACE OF MIND HEALTH AND WELLNESS (NPI 1245103217) is a healthcare organization registered as a psychiatric/mental health in Madison, Mississippi and active in the NPI registry since September 2025. The organization lists Shekela Douglas, Owner, as its authorized official.

NPPES Registry Identity

NPI1245103217
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEACE OF MIND HEALTH AND WELLNESS
Location Address105 EXECUTIVE DR STE AMadison, MS 39110-8496
Mailing Address105 Executive Dr Ste AMadison, MS 39110-8496
Phone(601) 540-5900
Organization SubpartNo
Authorized OfficialShekela DouglasOwner · (601) 540-5900
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1245103217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
105 EXECUTIVE DR STE A, Madison, MS 39110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHEKELA DOUGLAS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
105 EXECUTIVE DR STE A
MADISON, MS 39110
Madison County (601) 540-5900
DR. CHANCEY FORT LPC, RPT, NCC, NCSC
Counselor (Mental Health)
105 EXECUTIVE DR STE A
MADISON, MS 39110
Madison County (601) 340-9498

Frequently Asked Questions

What is PEACE OF MIND HEALTH AND WELLNESS's NPI number?

The NPI number assigned to this healthcare provider is 1245103217, enumerated as an "organization" on September 25, 2025.

Where is the provider located?

The provider is located at 105 EXECUTIVE DR STE A MADISON, MS 39110 and the phone number is (601) 540-5900.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.