Individual provider Active NPI

Dawn Holman, M.D.

  • Surgery Physician
  • Marion, VA
National Provider Identifier
1063465193
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101262322 Issued in VA
Practice address
239 Park Blvd
Marion, VA 24354-4103
Phone
(276) 378-0075
Fax
(855) 318-0701
NPI assigned
May 18, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101262322 VA Primary
Surgery Physician 208600000X 036103493 IL

Addresses

Primary practice location

239 Park Blvd
Marion, VA 24354-4103

Mailing address

239 Park Blvd
Marion, VA 24354-4103
Phone (276) 378-0075

Other practice location 1

707 N Logan Ave
Danville, IL 61832-4360
Phone (217) 477-4734

Other identifiers 1

IdentifierTypeStateIssuer
3386OtherSCMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170920000989 VA Practitioner - General Surgery 0648209288
I20220425000245 VT Practitioner - General Surgery 0648209288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Medical Center IncGroup PAC ID 4880683663, shared by 3 NPIs, 55 clinicians

Practice addresses (Care Compare)

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
58.32
Promoting interoperability
100
Improvement activities
40
Cost
66.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc CurrentSince May 2, 2022 Accepting new patients
Gifford Medical Center Inc CurrentSince Jan 7, 2026 Accepting new patients
Gifford Medical Center Inc. CurrentSince May 2, 2022 Accepting new patients
Rectal Diagnostics & Treatment Center Past Accepting new patients
Jackson County Surgical Associates Surgery PastSince May 23, 2005 Accepting new patients

Locations

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Organizations & group practices 5

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1063465193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544103",
            "telephone_number": "276-378-0075",
            "fax_number": "855-318-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544103",
            "telephone_number": "276-378-0075",
            "fax_number": "855-318-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Logan Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618324360",
            "country_code": "US",
            "telephone_number": "217-477-4734",
            "fax_number": "217-477-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101262322",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036103493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3386",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.