Individual provider Active NPI

Holly Yates Vezertzis, CRNP

  • Adult Health Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1033532874
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-111542 Issued in AL
Practice address
101 Cherry St
Gadsden, AL 35901-5234
Phone
(850) 233-3376
Fax
(850) 522-8354
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-111542 AL Primary

Addresses

Primary practice location

101 Cherry St
Gadsden, AL 35901-5234

Mailing address

2505 Harrison Ave
Panama City, FL 32405-4464
Phone (850) 233-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411001167 AL Practitioner - Nurse Practitioner 1557592656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Dermatology Group PAGroup PAC ID 9931277233, 45 clinicians

Practice addresses (Care Compare)

101 Cherry St
Gadsden, AL 35901-5234

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-111542ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Management Corporation CurrentSince May 23, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Mar 7, 2016 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Mar 7, 2016 Accepting new patients
Regional Health Management Corporation CurrentSince May 23, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Southeastern Dermatology Group PA CurrentSince Aug 5, 2022 Accepting new patients

Locations

901 Leighton Ave
Ste 101
Anniston, AL 36207
Phone (256) 236-0890

901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

101 Cherry St
Gadsden, AL 35901
Phone (256) 543-2380

1465 1st Ave SW
Ste A
Jacksonville, AL 36265
Phone (256) 435-2358

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1033532874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054464",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHERRY ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015234",
            "telephone_number": "850-233-3376",
            "fax_number": "850-522-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZERTZIS",
        "first_name": "HOLLY",
        "middle_name": "YATES",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-111542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.