Holly Anne Arnold, PA-C
Individual provider Active NPI Medical Physician Assistant · MC Kenzie, TN
NPI 1083876148 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1083876148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1622 (TN)
- Practice address
- 205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-7907
- Fax
- (731) 352-4459
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McKenzie Medical Center PC
Practice addresses (Care Compare)
205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080819000824 | TN | Practitioner - Physician Assistant | 8527133990 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1622 | TN | MD | Physician Assistant |
| 1622 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Medical Center PC | Physician Assistant | Current | Accepting new patients |
| McKenzie Medical Center PC | Current |
Accepting new patients | |
| McKenzie Medical Center PC | Current |
Accepting new patients | |
| McKenzie Medical Center PC | Physician Assistant | Past | Accepting new patients |
| McKenzie Medical Center, PC | Physician Assistant | Past | Accepting new patients |
Locations
30810 Broad St
Bruceton, TN 38317
Phone (731) 586-4800
205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429
205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820
Interoperability endpoints
- harnold536123@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1622 | TN | Yes |
| Physician Assistant | 363A00000X | PA1622 | TN |
Addresses
Primary practice location
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Mailing address
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3380640 | Other | TN | MEDICAID GROUP |
| 1506576 | Medicaid | TN | |
| PA1622 | Other | TN | PROFESSIONAL LICENSE |
| 3380640 | Other | TN | MEDICARE GROUP |
Other providers in MC Kenzie, TN
- Advanced Diagnostic Center LLC
- Mallory Akin
- Anna Anderson
- Malissa Anderson
- Sylvia Ifeyinwa Anunobi
- Aseracare Hospice - Tennessee, LLC
- Carson Elise Bailey
- Laura Baker
- Cloye Anita Barnhart-Gray
- Behavioral Health and Wellness
All providers in MC Kenzie, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.