Individual provider Active NPI

John R Holman, MD

  • Family Medicine Physician
  • Carson City, NV
National Provider Identifier
1215938394
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13250 Issued in NV
Practice address
180 E Winnie LN
Carson City, NV 89706-2268
Phone
(775) 204-4000
Fax
(775) 234-4605
NPI assigned
Aug 10, 2005
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 13250 NV Primary

Addresses

Primary practice location

180 E Winnie LN
Carson City, NV 89706-2268

Mailing address

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Other practice location 1

925 Ironwood Dr
Suite 2102
Minden, NV 89423-5178
Phone (775) 445-7745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100712000184 NV Practitioner - Family Practice 1254463227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Medical Group Hicks PCGroup PAC ID 4385059625, 34 clinicians

Practice addresses (Care Compare)

180 E Winnie LN
Carson City, NV 89706-2268
Phone (775) 204-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13250NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group Hicks PC Family Medicine CurrentSince Mar 24, 2024 Accepting new patients

Locations

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

180 E Winnie Ln
Carson City, NV 89706
Phone 7753020000 ext. 2028

6275 Sharlands Ave
Ste B15
Reno, NV 89523

6630 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (725) 829-1212

2861 Northtowne Ln
Reno, NV 89512
Phone (775) 360-4909

15 McCabe Dr
Reno, NV 89511
Phone (775) 788-5599

5975 S Los Altos Pkwy
Sparks, NV 89436

Organizations & group practices 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1215938394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-234-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E WINNIE LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062268",
            "telephone_number": "775-204-4000",
            "fax_number": "775-234-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Ironwood Dr",
            "address_2": "Suite 2102",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NV",
            "postal_code": "894235178",
            "country_code": "US",
            "telephone_number": "775-445-7745",
            "fax_number": "775-782-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "13250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.