NPIMap

Individual provider Active NPI

Eric Edward Holt I, MD

  • Internal Medicine Physician
  • Meridian, MS
National Provider Identifier
1013070424
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26314 Issued in MS
Practice address
1600 22ND Ave
Meridian, MS 39301-3223
Phone
(601) 483-5322
NPI assigned
Dec 18, 2006
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26314 MS Primary
Nephrology Physician 207RN0300X 015961 LA
Nephrology Specialist/Technologist 246ZN0300X
Internal Medicine Physician 207R00000X 59081 LA
Nephrology Physician 207RN0300X 059081 GA

Addresses

Primary practice location

1600 22ND Ave
Meridian, MS 39301-3223

Mailing address

PO Box 749215
Atlanta, GA 30374-9215
Phone (901) 226-3186

Other practice location 1

4747 Earhart Blvd Ste. J
New Orleans, LA 70125-1743
Phone (504) 592-9818

Other identifiers 1

IdentifierTypeStateIssuer
1385069MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140211000466 LA Practitioner - Internal MedicinePractitioner - Nephrology 8325000854 Reassigns benefits to 1 organization
I20201012001223 MS Practitioner - NephrologyPractitioner - Internal Medicine 8325000854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

1600 22ND Ave
Suite a
Meridian, MS 39301-3223
Phone (601) 693-1055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59081LAMDInternal Medicine Physician
015961LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans East Wellness Center, LLC CurrentSince Aug 1, 2017 Accepting new patients
Anderson Physician Alliance, Inc. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Brunswick Urgent Care, LLC PastSince Apr 20, 2019 Accepting new patients
Nephrology & Hypertension Medical Associates, PC Nephrology PastSince May 11, 2015 Accepting new patients
Mercy Health Network of the Southern Region Inc Internal Medicine Past Accepting new patients
Poplar Bluff Hma Physician Management, LLC Nephrology Past Accepting new patients
Signature Nephrology Group PC Past Accepting new patients
Independent Dialysis Services, Inc Past Accepting new patients

Locations

306 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 309-6270

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055

Networks

  • MS PPO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • TN PPO C-SNP
  • MS PPO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • TN PPO

Interoperability endpoints

  • Direct secure messaging: eholt@imc.directbygreenway.com
  • Direct secure messaging: eholt@imc.gwaydirect.com
  • Direct secure messaging: eric_holt_md@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/10617/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 7

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1013070424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749215",
            "telephone_number": "901-226-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4747 EARHART BLVD STE. J",
            "address_purpose": "LOCATION",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251743",
            "country_code": "US",
            "telephone_number": "504-592-9818",
            "fax_number": "504-522-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "26314",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "015961",
            "primary": false
        },
        {
            "code": "246ZN0300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "59081",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "059081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.