Individual provider Active NPI

Holly Bernardini, DO

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1205883113
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200400900 Issued in NC
Practice address
10021 Park Cedar Dr Ste 200
Charlotte, NC 28210-8701
Phone
(704) 438-9383
Fax
(704) 799-7812
NPI assigned
May 27, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200400900 NC Primary

Addresses

Primary practice location

10021 Park Cedar Dr Ste 200
Charlotte, NC 28210-8701

Mailing address

10021 Park Cedar Dr Ste 200
Charlotte, NC 28210-8701
Phone (704) 438-9383

Other identifiers 1

IdentifierTypeStateIssuer
1205883113MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly.layman-bernardini.1@4693.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041123001027 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4183689656 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacs, PCGroup PAC ID 6002121530, 10 clinicians
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

10021 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8701
Phone (704) 438-9383

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Nov 10, 2025 Accepting new patients
Woundswift, LLC CurrentSince Jan 13, 2024 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Nov 10, 2025 Accepting new patients
Snowshoe LTC Group, LLC Past Accepting new patients
Liberty Healthcare Group LLC Past Accepting new patients
Spruce LTC Group, LLC Past Accepting new patients
Mecklenburg Health and Rehabilitation, LLC Past Accepting new patients
Asheboro Opco LLC Past Accepting new patients
Sunbridge Regency - North Carolina, LLC Past Accepting new patients

Locations

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

5540 Centerview Dr
Ste 204
Raleigh, NC 27606
Phone (704) 221-2320

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty Commons Nursing and Rehabilitation Center of Rowan County, LLCSalisbury, NC, CCN 345503 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 4, 2025
Mar 23, 2026
Meridian CenterHigh Point, NC, CCN 345172 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 27, 2026
Apr 27, 2026
Maple Grove Health and Rehabilitation CenterGreensboro, NC, CCN 345448 Skilled nursing facility Adp of the SNF Jan 1, 2004
Richmond Pines Healthcare and Rehabilitation CenterHamlet, NC, CCN 345293 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF
Jun 1, 2024
Jun 1, 2024
Willowbrook Rehabilitation and CareYadkinville, NC, CCN 345466 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025
Westwood Health and RehabilitationArchdale, NC, CCN 345450 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1205883113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 PARK CEDAR DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108701",
            "telephone_number": "704-438-9383",
            "fax_number": "704-799-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 PARK CEDAR DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108701",
            "telephone_number": "704-438-9383",
            "fax_number": "704-799-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205883113",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.layman-bernardini.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "202 Williamson Rd",
            "address_2": "Suite 100",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281177610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.