Mississippi

Mississippi Collaborating Physician Jobs – Connect with Clinics Hiring Physicians

Mississippi requires every NP to have a written collaborative agreement with a physician — permanently, with no independence pathway. The state’s unique primary and secondary collaborating physician structure, MELS online filing system, 75-mile proximity rule, and quarterly QA meetings create one of the most structured collaboration frameworks in the South — driving consistent, well-compensated physician demand across Jackson, Gulfport, Hattiesburg, and the entire Magnolia State.

⏱ Get started in 24–48 hours 🖥️ MELS gateway filing — we handle it ✅ 75-mile proximity rule — primary care exception available 💰 Permanent income — 2025 independence bill failed
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2025 legislative update: Mississippi considered a bill that would have allowed NPs to gain independent practice rights after 3,600 hours of supervised experience. The bill failed to pass. Mississippi’s permanent physician collaboration requirement for NPs remains fully in effect. No independence pathway exists for Mississippi NPs under current law — physician collaboration is required throughout an NP’s career in Mississippi.

Permanent
No NP independence pathway — 2025 bill failed; permanent physician collaboration required
75 miles
“Extended Mileage Collaboration” threshold — NPs more than 75 miles from physician require Board application and personal appearance
Quarterly
Physician must meet face-to-face (in person or video) with each NP quarterly for quality assurance purposes
Mississippi’s Unique Physician Structure

Primary and Secondary Collaborating Physicians — Mississippi’s Dual-Physician Model

Mississippi is one of the only states in this series with a statutory primary and secondary collaborating physician designation. Understanding this structure is essential for correct MELS filing and QA responsibility.

Primary Collaborating Physician

The Principal Physician Responsible for QA and QI

The primary collaborating physician’s name must be displayed for public view at the APRN’s practice site. The physician designated as primary in MELS — or, in the absence of a noted primary, the physician performing most of the chart review — is ultimately responsible for all QI requirements. The primary physician must:

• Hold a current unrestricted MS license
• Actively provide direct patient care at least 8 hours weekly
• Practice in Mississippi at least 20 hours/week (80 hours/month)
• Notify MSBML within 7 working days of entering into or terminating any agreement

Secondary Collaborating Physician

Backup Coverage and Additional Clinical Support

A secondary collaborating physician may also be named in the collaborative agreement to provide backup coverage and additional clinical support. The secondary physician must meet the same licensure requirements as the primary physician.

• Same unrestricted MS license requirement
• Same direct patient care requirement (8 hours/week)
• Provides backup consultation and coverage when primary is unavailable
• Must also be within 75 miles of the NP (unless Extended Mileage waiver applies)

Why Mississippi

Mississippi’s MELS-Filed, Board-Notified Collaboration Framework Creates High-Structure, Premium Physician Demand Across the Magnolia State

Mississippi requires the collaborating physician to add the NP to their file via the MELS (Medical Enforcement and Licensure System) Online Licensure Gateway BEFORE patient care begins — and the NP must also submit the collaboration agreement to the Mississippi Board of Nursing prior to beginning practice. Both boards must be notified. The physician must notify MSBML within 7 working days of any change in collaborative status.

Mississippi also requires the collaborating physician to actively practice in Mississippi for at least 20 hours per week (or 80 hours per month) — and expressly states that telemedicine hours do not count toward this requirement. This active-practice-in-state standard is one of the most specific in the series. The 75-mile proximity rule limits which NPs a given physician can collaborate with — though a primary care exception and a Board-application waiver process exist for Extended Mileage arrangements.

Mississippi’s 2025 independence bill failed — no change is coming to the permanent collaboration requirement under current law. This legislative stability, combined with Mississippi’s large and underserved rural NP workforce, means physician collaboration demand in the Magnolia State is high, consistent, and likely to remain so for the foreseeable future.

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Mississippi State Requirements

Collaborating physicians must add the NP to their MELS file BEFORE patient care begins. NP must also submit the collaboration agreement to the Mississippi Board of Nursing before beginning practice. Physician must notify MSBML within 7 working days of entering into or terminating any collaborative agreement. Miss. Code Ann. § 73-25-35; Title 30, Part 2630

Physician must hold a current unrestricted Mississippi license and actively provide direct patient care at least 8 hours weekly. Physician must practice in Mississippi at least 20 hours per week (80 hours/month) — telemedicine hours expressly excluded from this count. Primary physician’s name must be displayed publicly at the NP’s practice site. Title 30, Part 2630, Rule 1.3

Physicians are prohibited from collaborating with an NP whose practice location is more than 75 miles from the physician’s primary office, unless the physician applies to MSBML for Extended Mileage Collaboration approval (requires personal appearance or telephone interview before the Board). Exception: no mileage restriction for primary care physician + primary care NP arrangements. Title 30, Part 2630, Rule 1.2; MSBML APRN page

Physician must meet face-to-face (in person or video) with each collaborative NP once per quarter for quality assurance purposes. Each collaboration must include a formal QA/QI program maintained on-site and available for Board inspection. The physician denoted as primary in MELS is ultimately responsible for all QI requirements. Title 30, Part 2630; Zivian Health MS 2025

No independence pathway — 2025 bill (3,600-hour proposal) failed to pass. No ratio cap specified in current rules. PAs also require physician supervision with monthly contact. Governed by MSBML (physicians) and Mississippi Board of Nursing (NPs). Miss. Code Ann. § 73-25-35; Title 30, Part 2630

Your Role

What a Collaborating Physician Does in Mississippi

Mississippi’s framework involves dual board notification, an active practice standard, quarterly QA meetings, and the 75-mile proximity rule. We manage every administrative layer so you can focus on the clinical relationship.

File via MELS Before Patient Care Begins

Add the NP to your MELS (Medical Enforcement and Licensure System) file via the MSBML Online Licensure Gateway before any patient care occurs under the agreement. This is a Board-filing requirement — not just an internal document. We handle the MELS gateway filing for every arrangement.

Be the Primary Collaborating Physician

Serve as the primary collaborating physician — the one whose name is displayed publicly at the NP’s practice site and who is ultimately responsible for QI requirements. We structure the agreement to correctly designate your primary or secondary role and ensure all MELS filings reflect this designation accurately.

Quarterly QA Face-to-Face Meetings

Meet face-to-face (in person or via video conferencing) with each collaborative NP once per quarter for QA purposes. These meetings must be documented in the same manner as chart review. We schedule all four annual meetings and provide documentation templates for each session.

Maintain QA/QI Program On-Site

Ensure the collaborative practice has a formal Quality Assurance/Quality Improvement program maintained on-site and available for MSBML inspection. The QA/QI program must be sufficient to provide a valid evaluation of the practice. We provide a compliant QA/QI framework for every Mississippi arrangement.

Practice Within 75 Miles of the NP

Your primary office must be within 75 miles of the NP’s practice location — unless an Extended Mileage waiver or primary care exception applies. For primary care physician + primary care NP arrangements, the 75-mile rule does not apply. We verify proximity compliance before every match.

Earn Permanent, Long-Term Income

Mississippi has no independence pathway — the 2025 bill failed. Your collaboration income is permanent for the life of the NP’s practice in Mississippi. With a large, underserved rural NP workforce and a growing coastal and urban healthcare market, the collaboration opportunity is stable and long-term.

Simple Process

Get Started in 3 Simple Steps

Many physicians in our network are matched and onboarded within 24 to 48 hours.

1

Apply

Submit your credentials, Mississippi medical license number, and primary practice location. It takes less than 2 minutes. We verify your active MS license and 20 hours/week practice requirement before matching.

2

Get Matched

We connect you with Mississippi NPs within 75 miles of your primary office — or identify primary care NP opportunities where the mileage rule doesn’t apply — across Jackson, Gulfport, Hattiesburg, and statewide.

3

Start Collaborating

Begin with MELS gateway filing complete before patient care, the NP’s MSBN submission coordinated, a QA/QI program on-site, and quarterly meeting documentation established from day one.

Our Difference

A Smarter Way to Work as a Mississippi Collaborating Physician

Mississippi’s MELS gateway filing, dual Board notification (MSBML + MSBN), 7-working-day change notification, 20-hours/week active practice standard, 75-mile proximity rule, primary care exception, Extended Mileage waiver process, quarterly QA meetings, QA/QI program, and public name display requirement all need precise coordination. We handle every layer.

We handle MELS filing

We complete the MELS Online Licensure Gateway filing on your behalf before patient care begins — ensuring Mississippi’s pre-commencement Board filing requirement is met every time.

Start within 24–48 hours

Many Mississippi physicians in our network are matched and onboarded within 24 to 48 hours of applying.

75-mile compliance verified upfront

We confirm proximity compliance before every introduction — and identify primary care exception opportunities or facilitate Extended Mileage waiver applications when warranted.

Quarterly meeting scheduling & documentation

We schedule all four annual QA meetings, provide documentation templates, and ensure meeting records are maintained on-site — keeping your QI program audit-ready for MSBML inspection.

7-working-day notification management

We coordinate MSBML notifications within 7 working days for all changes to collaborative status — new agreements, terminations, and modifications — keeping you fully compliant with Mississippi’s Board change notification rules.

Permanent income — no independence pathway

Mississippi’s 2025 independence bill failed. Physician collaboration is permanent in Mississippi — your income is stable, long-term, and supported by one of the most consistent collaboration demand environments in the Deep South.

Mississippi Clinics

Mississippi Clinic Types We Work With

Every Mississippi NP needs a physician collaborator — permanently, throughout their career. From Jackson’s medical district and Gulf Coast resort clinics to the Mississippi Delta’s rural healthcare network.

💆Medical Spas
⚖️Weight Loss Centers
💉IV Hydration
💻Telehealth Platforms
🏥Primary Care
🧠Psychiatry Practices
Specialty Clinics
🩺Wellness Centers
Is This For You?

This Opportunity Is Ideal For

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Physicians with an active, unrestricted Mississippi medical license who provide direct patient care at least 8 hours weekly

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Physicians actively practicing in Mississippi at least 20 hours/week whose primary office is within 75 miles of the NP’s location

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Those seeking permanent, long-term additional income in one of the most stable collaboration demand markets in the Deep South

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Physicians committed to quarterly QA meetings, MELS gateway maintenance, and MSBML 7-working-day notification compliance

Your Mississippi medical license must be active and unrestricted. You must actively provide direct patient care at least 8 hours weekly and practice in Mississippi at least 20 hours per week — telemedicine hours do not count toward this requirement. Your primary office must be within 75 miles of the NP’s practice location (primary care exception available; Extended Mileage waiver available with Board application).

Collaborating Physician Jobs in Mississippi

Mississippi Collaborating Physician Jobs — Permanent Demand Across the Magnolia State

Mississippi has no NP independence pathway — a 2025 legislative proposal that would have allowed NPs to gain independent practice rights after 3,600 hours failed to pass — which means every prescribing NP in the state needs a physician collaborator for the full duration of their practice in Mississippi. That permanent structure, combined with the state’s large rural NP workforce, dual-board MELS filing system, 75-mile proximity rule, and quarterly QA requirements, creates one of the most consistently active markets for collaborating physician jobs in the Deep South. For NPs and PAs looking to find collaborating physician partners in Mississippi, and for physicians seeking consistent, well-compensated supplemental income, the state’s structured framework offers long-term stability found in few other markets.

Collaborating Physician Jobs With No Expiration — Permanent Demand

Because Mississippi requires a Written Collaborative Agreement permanently for all prescribing NPs — with no hours-based independence pathway and no pending legislation that would change this — every arrangement a physician enters into in the state is a long-term income source. An NP who opens a primary care clinic in Hattiesburg or a weight loss practice in Ridgeland needs a collaborating physician for as long as they practice in Mississippi. This structural permanence makes Mississippi collaborating physician jobs among the most stable available in the Southern market.

Collaborating Physician for Nurse Practitioners — Rural and Coastal Markets

Mississippi has one of the largest rural NP practitioner workforces in the country relative to its population, and the demand for a collaborating physician for nurse practitioners who serve these communities is broad and sustained. From rural Delta communities in Greenville and Greenwood to Gulf Coast practices in Biloxi and Gulfport, Mississippi NPs span primary care, weight management, behavioral health, and aesthetics — and every one of them needs a primary collaborating physician listed in their MELS file before patient care begins.

Primary Care Exception — No 75-Mile Limit for Primary Care Physicians

Mississippi’s 75-mile proximity rule does not apply to primary care physicians collaborating with primary care NPs — one of the most important and underutilized provisions in Mississippi’s framework. Primary care physicians anywhere in the state can collaborate with primary care NPs regardless of geographic distance, making Mississippi’s largest practice type fully accessible as a remote collaboration arrangement. Hospitals, FQHCs, state health department facilities, and volunteer clinics are also excluded from the proximity restriction.

Structured Obligations — We Handle the Compliance Complexity

Mississippi’s framework is the most administratively detailed in this series — dual-board MELS and MSBN filings, 7-working-day change notifications, quarterly QA face-to-face meetings, public name display at the practice site, and a 20-hours/week active in-state practice requirement. Each of these requirements creates administrative overhead that most physicians do not want to manage independently. We handle every element — filing, scheduling, documentation, and notification — so your role stays focused on the clinical collaboration itself.

CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across Mississippi and matches physicians with NP practices within 24 to 48 hours. Whether you want to find collaborating physician positions in Jackson, Gulfport, Hattiesburg, or across the Magnolia State, we handle dual MELS and MSBN filings, structure compliant primary/secondary physician agreements, verify 75-mile compliance or identify primary care exceptions, and coordinate all quarterly QA meeting documentation throughout the arrangement.

FAQ

Frequently Asked Questions — Mississippi

Is physician collaboration permanently required for Mississippi NPs?
Yes. Mississippi is a restricted practice state with no independence pathway for NPs. Career-long physician collaboration is required for certain medical acts and prescription of Schedule II controlled substances. A 2025 legislative proposal would have allowed NPs to gain independent practice rights after 3,600 hours of supervised experience — but the bill failed to pass. Mississippi’s permanent collaboration requirement remains fully in effect, and no independence pathway exists under current law.
What is the MELS filing requirement?
MELS stands for Medical Enforcement and Licensure System — the Mississippi State Board of Medical Licensure’s Online Licensure Gateway. Before any patient care begins under a collaborative agreement, the physician must add the NP to their MELS file via the gateway (gateway.msbml.ms.gov). This is a proactive Board filing requirement — not just document retention. The NP must also separately submit the collaboration agreement to the Mississippi Board of Nursing prior to beginning practice. Both boards must receive notification. We handle both filings for every Mississippi arrangement.
How does Mississippi’s 75-mile proximity rule work?
Under Mississippi Administrative Code Title 30, Part 2630, physicians are prohibited from entering into a collaborative agreement with an NP whose practice location is more than 75 miles from the physician’s primary office — unless approved through the Extended Mileage Collaboration process. For Extended Mileage arrangements, the physician must apply to MSBML and appear personally (or by telephone interview) before the Board. An important exception: the 75-mile restriction does not apply for primary care physicians collaborating with primary care NPs. All hospitals, state health department facilities, federally qualified community health clinics, and volunteer clinics are also excluded from the 75-mile mileage restriction.
What are the quarterly QA meeting requirements?
Under Mississippi’s APRN collaboration rules (Title 30, Part 2630), the collaborating physician must meet face-to-face — either in person or via video conferencing — with each collaborative NP once per quarter for quality assurance purposes. These meetings must be documented in the same manner as chart review. The physician denoted as primary in MELS is ultimately responsible for all QI requirements. Each collaboration must also have a formal QA/QI program maintained on-site and available for MSBML and MSBN inspection.
What is the “primary and secondary collaborating physician” structure?
Mississippi uniquely provides for both primary and secondary collaborating physicians in the same collaborative agreement. The primary collaborating physician’s name must be displayed publicly at the APRN’s practice site and that physician is ultimately responsible for QI requirements. A secondary physician may also be designated to provide backup coverage and additional clinical support. Both primary and secondary physicians must hold current unrestricted Mississippi licenses and actively provide direct patient care at least 8 hours weekly. We structure every Mississippi agreement with correct primary/secondary designations reflected in the MELS filing.
Why does Mississippi exclude telemedicine hours from the 20 hours/week practice requirement?
Mississippi’s collaboration rules (Title 30, Part 2630, Rule 1.3) specifically state that the collaborating physician must practice in Mississippi for a minimum of 20 hours per week (or 80 hours per month) — and expressly state that telemedicine hours do not count toward this requirement. This means physicians whose Mississippi practice is conducted primarily or entirely via telemedicine cannot serve as collaborating physicians for Mississippi NPs, even if their total clinical hours are substantial. Collaborating physicians must have meaningful, in-person patient care presence in Mississippi.
How do I find a collaborating physician in Mississippi — and what should NPs look for?
For NPs: the most reliable way to find a collaborating physician in Mississippi is through a managed matching platform. Mississippi’s framework is among the most administratively complex in the country — the physician must be added to your MELS file before patient care begins, you must separately file with the MSBN, the physician must practice in Mississippi for at least 20 hours per week with in-person patient care (telemedicine excluded), and the 75-mile proximity rule limits which physicians are eligible for most practice types. Attempting to find a collaborating physician independently through social media, NP groups, or local outreach often results in arrangements with physicians who do not meet the active-practice standard or who are outside the 75-mile range — both of which render the MELS filing invalid. A managed platform verifies all of these elements before introduction. For physicians: if you are evaluating collaborating physician jobs in Mississippi and want to understand the scope of what physician collaboration here involves, Mississippi is the most structurally demanding market in this series — MELS pre-filing, dual board notification, quarterly face-to-face QA meetings, public name display, and a 7-working-day change notification requirement. A collaborative physician in Mississippi takes on real, defined obligations. Understanding those obligations fully before applying ensures you enter arrangements that are sustainable, compliant, and mutually beneficial for both parties.
What does physician collaboration in Mississippi involve — and what is a collaborative physician responsible for?
Physician collaboration in Mississippi is governed by Mississippi Code § 73-25-35 and Title 30, Part 2630 of the Mississippi Administrative Code. A collaborative physician in Mississippi has specific, enumerated obligations that distinguish the role from most other states in the series: (1) file via MELS before patient care begins; (2) practice in Mississippi at least 20 hours per week with direct in-person patient care; (3) meet face-to-face with each collaborative NP quarterly for QA purposes; (4) ensure a QA/QI program is maintained on-site and available for Board inspection; (5) have your name publicly displayed at the NP’s practice site; and (6) notify MSBML within 7 working days of any change in collaborative status. These obligations go beyond most states in the series — which is why Mississippi physician collaboration income is typically above the national average for the South. For physicians willing to meet these requirements, Mississippi offers stable, well-compensated, and long-term collaborating physician jobs in one of the most consistently in-demand markets in the region.

Start Building Additional Income as a Mississippi Collaborating Physician

Mississippi NPs need a MELS-filed physician collaborator — permanently, with the 2025 independence bill failed and no change on the horizon. We connect you, handle dual Board filings, manage quarterly QA meetings, verify 75-mile compliance, and support your role throughout.

Apply Now — Takes Less Than 2 Minutes

Or call us at +1 (817) 857-2726 to get started today.

Serving physicians and clinics across Mississippi, including Jackson, Gulfport, Southaven, Hattiesburg, Biloxi, Meridian, Tupelo, Olive Branch, Greenville, Horn Lake, Pearl, Madison, Ridgeland, Clinton, Starkville, Columbus, Vicksburg, Pascagoula, Oxford, Laurel, and surrounding communities statewide.

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