Individual provider Active NPI

Terry F Holmes, MD

  • Psychiatry Physician
  • Signal Mountain, TN
National Provider Identifier
1174557722
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD25293 Issued in TN
Practice address
45 Carriage HL
Signal Mountain, TN 37377-2355
Phone
(423) 774-3180
NPI assigned
Jul 10, 2006
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 25293 TN
Psychiatry Physician 2084P0800X MD25293 TN Primary

Addresses

Primary practice location

45 Carriage HL
Signal Mountain, TN 37377-2355

Mailing address

44 Carriage Hill
Signal Mountain, TN 37377
Phone (423) 265-2271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000747 TN Practitioner - Psychiatry 6709862535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25293TNMDAddiction Medicine (Psychiatry & Neurology) Physician
MD25293TNMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1174557722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CARRIAGE HILL",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "37377",
            "telephone_number": "423-265-2271",
            "fax_number": "423-785-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CARRIAGE HL",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772355",
            "telephone_number": "423-774-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TERRY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TN",
            "license": "25293",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD25293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Mountain, TN

Sources for this page

Verify at the official NPI Registry.