Holly Burdick Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HOLLY BURDICK INC

Doing business as

Autism Solutions Group

Practice address

2286 Bethabara Rd
Winston Salem, NC 27106-2639

Phone

(336) 215-4004

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Holly A Burdick, MS, MANPI 1548002611

Title

President

Phone

(336) 215-4004

Specialties & licenses 1

Addresses

Other names 1

• Autism Solutions Group Doing business as

Practitioners 1

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

• Holly A Burdick, MS, MA

  • Specialist
  • Winston Salem, NC
  • NPI 1548002611
  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1093557175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17451",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271167451",
            "telephone_number": "336-215-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2286 BETHABARA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062639",
            "telephone_number": "336-215-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Marin Blvd Apt 20L",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023695",
            "country_code": "US",
            "telephone_number": "336-215-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLY BURDICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-215-4004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, MA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Solutions Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ware Hollingsworth, M.D.
• John Zeigler Hollingsworth, MD
• Tabitha Michelle Hollins, N.P.
• Olivia Holloway Gibbs, PHARMD
• Victoria Rochelle Holloway
• Thomas A Holm, PH.D.
• Jennifer Lee Nash Holman, M.D.
• Lia K Holman, MPT
• Acey Holmes, M.S., CCC-SLP
• Caleb Steven Holmes

• Specialist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.