Holly M Van de Voort, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

59972 Issued in GA

Practice address

6 Hospital Park
Moultrie, GA 31768-6700

Phone

(229) 985-3320

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hvandevoort669492@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mahaska County Hospital

  • Critical Access Hospital
  • Oskaloosa, IA
  • NPI 1356320659
  Medicare reassignment NPD
• Mahaska County Hospital

  • Family Medicine Physician
  • Oskaloosa, IA
  • NPI 1407869852
  Medicare reassignment NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Piedmont Athens Primary Care LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1245746783
  NPD (past)
• Centennial Pediatrics PC

  • Pediatrics Physician
  • Nashville, TN
  • NPI 1477588523
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1174740385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-891-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686700",
            "telephone_number": "229-985-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Oglethorpe Ave Ste 600Ef",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062179",
            "country_code": "US",
            "telephone_number": "706-613-5980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "IA",
            "postal_code": "50129",
            "country_code": "US",
            "telephone_number": "706-231-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DE VOORT",
        "first_name": "HOLLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "45023",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "000517",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "46504",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "28913",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "59972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Veasey Underwood
• United Obstetrics & Gynecology
• United Rehab Inc
• United Rehab Inc
• United Rehab Inc
• Bonny S Voyles, FNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Henry David Walden, BCBA
• Walgreen Co

• Pediatrics Physician in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.