Jerry M Holley MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

020391 Issued in TN

Legal business name

JERRY M HOLLEY MD PLLC

Practice address

4100 Austin Peay Hwy
Memphis, TN 38128-2502

Phone

(901) 486-1151

Fax

(901) 844-1439

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jerry M Holley, MDNPI 1851494462

Title

Owner

Phone

(901) 486-1151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

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

• Jerry Morgan Holley, MD

  • Internal Medicine Physician
  • Bartlett, TN
  • NPI 1851494462
  Medicare reassignment NPD Authorized official
• Frederick A Fiedler, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1598733545
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1013400852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 REBECCA WOODS DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025798",
            "telephone_number": "901-486-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 AUSTIN PEAY HWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282502",
            "telephone_number": "901-486-1151",
            "fax_number": "901-844-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8131 Rebecca Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380025798",
            "country_code": "US",
            "telephone_number": "190-148-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERRY M HOLLEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-486-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "020391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maethel Jensen, LMT
• Jer LLC
• Brian Montgomery Jerkins, MD
• Jerome S. Siegel, M.D. P.C.
• Jerry L Ivery Ministries Inc
• Japriest Jerry, LPC
• Sue Ellen Jeruzal, DPH
• Jesse E. McGee MD PC
• Jesse M Wesberry MD PSC
• Jesse M Wesberry MD PSC

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.