Organization Active NPI

William Terry Holt

  • Primary Podiatric Medicine Podiatrist
  • Jackson, TN
National Provider Identifier
1013319961
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
WILLIAM TERRY HOLT
Practice address
657 Skyline Dr
Suite a
Jackson, TN 38301-3903
Phone
(731) 427-5581
Fax
(731) 427-8257
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Mrs. Judy H. Holt
Title
Office Adm./Office MGR
Phone
(731) 427-5581

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary
Radiology PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ER0200X
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X

Addresses

Primary practice location

657 Skyline Dr
Suite a
Jackson, TN 38301-3903

Mailing address

657 Skyline Dr
Suite a
Jackson, TN 38301-3903
Phone (731) 427-5581

Other names 1

  • Podiatry Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

116 W Main St
Henderson, TN 38340
Phone (731) 427-5581

657 Skyline Dr
Jackson, TN 38301
Phone (731) 541-8425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1013319961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 SKYLINE DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-427-5581",
            "fax_number": "731-427-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 SKYLINE DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-427-5581",
            "fax_number": "731-427-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM TERRY HOLT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE ADM./OFFICE MGR",
        "authorized_official_telephone_number": "731-427-5581",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.