Individual provider Active NPI

Julie Holley Coleman, RN

  • Family Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1063973071
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09201079 Issued in MS
Practice address
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone
(601) 781-2234
Fax
(601) 781-2231
NPI assigned
Mar 31, 2019
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09201079 MS Primary
Registered Nurse 163W00000X R879513 MS

Addresses

Primary practice location

1001 Holland Ave
Philadelphia, MS 39350-2161

Mailing address

1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 781-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20211026002590 MS Practitioner - Nurse Practitioner 0941698856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R879513MSMDRegistered Nurse
F09201079MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince Jul 22, 2021 Accepting new patients
Neshoba County General Hospital CurrentSince Jul 22, 2021 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 18, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Jun 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 18, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

1621 W Peace St
Canton, MS 39046
Phone (601) 391-2716

115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101

1061 Highway 35 S
Forest, MS 39074
Phone (601) 541-4310

2009 Highway 82 W
Greenwood, MS 38930
Phone (662) 595-4601

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

50 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 633-4216

296 Eastside Dr
Newton, MS 39345
Phone (601) 228-8985

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200

1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730

1612 E County Line Rd
Ridgeland, MS 39157
Phone (601) 429-1160

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584

2121 Grand Ave
Yazoo City, MS 39194
Phone (662) 716-8071

Interoperability endpoints

  • Direct secure messaging: juliecoleman1@neshobahealth.cernerdirect.com

Organizations & group practices 7

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1063973071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-781-2234",
            "fax_number": "601-781-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502161",
            "telephone_number": "601-781-2234",
            "fax_number": "601-781-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JULIE",
        "middle_name": "HOLLEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F09201079",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R879513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.