NPIMap

Individual provider Active NPI

Patsy Lenan Holloway, FNP BC

  • Family Nurse Practitioner
  • Quitman, MS
National Provider Identifier
1003045410
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R847138 Issued in MS
Practice address
605 S Archusa Ave
Quitman, MS 39355-2331
Phone
(601) 776-6925
Fax
(601) 776-7148
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R847138 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000430 MS Practitioner - Nurse Practitioner 0345383048 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laird Hospital, Inc.Group PAC ID 7214991769, shared by 9 NPIs, 30 clinicians
Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians
Rush Medical FoundationGroup PAC ID 2567368541, shared by 7 NPIs, 31 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
85.18 of 100Reported as group
Quality
78.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R847138MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kemper Cah, Inc CurrentSince Jul 6, 2022 Accepting new patients
Rush Medical Foundation CurrentSince Oct 10, 2009 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Rush Medical Foundation Current Accepting new patients
Scott Regional Medical Center, Inc Family CurrentSince Jan 4, 2026 Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Jan 4, 2026 Accepting new patients
Rush Medical Foundation CurrentSince Oct 10, 2009 Accepting new patients
Kemper Cah, Inc. CurrentSince Jul 6, 2022 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) 774-1502

Interoperability endpoints

  • Direct secure messaging: pholloway1216624@direct.ochsner.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1003045410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 LYNDA ST",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552432",
            "telephone_number": "601-776-6925",
            "fax_number": "601-776-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S ARCHUSA AVE",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552331",
            "telephone_number": "601-776-6925",
            "fax_number": "601-776-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "PATSY",
        "middle_name": "LENAN",
        "name_prefix": "Mrs.",
        "credential": "FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R847138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, MS

Sources for this page

Verify at the official NPI Registry.