Patsy Lenan Holloway, FNP BC
Individual provider Active NPI Family Nurse Practitioner · Quitman, MS
NPI 1003045410 · NPPES record last updated Jul 7, 2009
Key facts
- NPI
- 1003045410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R847138 (MS)
- Practice address
- 605 S Archusa Ave
Quitman, MS 39355-2331 - Phone
- (601) 776-6925
- Fax
- (601) 776-7148
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 31
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laird Hospital, Inc.
Scott Regional Medical Center, Inc.
Kemper Cah, Inc.
Rush Medical Foundation
Practice addresses (Care Compare)
25117 Hwy 15
Union, MS 39365-9088
Phone (601) 774-8214
317 Hwy 13 S
Morton, MS 39117-3353
Phone (601) 732-6301
5334 Dale Dr
Marion, MS 39342-9604
Phone (601) 703-0130
905 C S Frontage Rd
Ochsner Urgent Care Meridian
Meridian, MS 39301-6113
Phone (601) 482-4955
Hospital & facility affiliations
- Ochsner Watkins Hospital
- Ochsner Scott Regional
- Ochsner Stennis Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.18 of 100
- Quality
- 78.43
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100203000430 | MS | Practitioner - Nurse Practitioner | 0345383048 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R847138 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Medical Foundation | Current |
Accepting new patients | |
| Kemper Cah, Inc | Current |
Accepting new patients | |
| Scott Regional Medical Center, Inc. | Family | Current |
Accepting new patients |
| Scott Regional Medical Center, Inc | Family | Current |
Accepting new patients |
| Rush Medical Foundation | Current | Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Kemper Cah, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients |
Locations
1221 N Washington St
Livingston, AL 35470
Phone (205) 652-7680
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
5334 Dale Dr
Marion, MS 39342
Phone (601) 703-0130
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
905C S Frontage Rd
Meridian, MS 39301
Phone (601) 482-4955
317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Interoperability endpoints
- pholloway1216624@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R847138 | MS | Yes |
Addresses
Primary practice location
605 S Archusa Ave
Quitman, MS 39355-2331
Mailing address
503 Lynda St
Quitman, MS 39355-2432
Phone (601) 776-6925
Other providers in Quitman, MS
- Bobby Harris
- Heavenly in Homecare LLC
- Heritage Family Dental
- David M Holifield
- Mary Ann Hollingsworth
- Hospice Care Group, LLC
- Jones Family Medicine Clinic, PLLC
- Laboratory Corporation of America Holdings
- Enija Mays
- Kadejaih D McCarty
All providers in Quitman, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.