Organization Active NPI

Holleman Surgical

  • Surgery Physician
  • Columbus, NC
National Provider Identifier
1225220460
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
98-00281 Issued in NC
Legal business name
HOLLEMAN SURGICAL
Practice address
44 Hospital Dr
Suite 1a
Columbus, NC 28722-8516
Phone
(828) 894-3300
Fax
(828) 894-3377
NPI assigned
Aug 12, 2007
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. James Bennett Holleman Jr., MDNPI 1053308635
Title
President
Phone
(828) 894-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 98-00281 NC Primary

Addresses

Primary practice location

44 Hospital Dr
Suite 1a
Columbus, NC 28722-8516

Mailing address

44 Hospital Dr
Suite 1a
Columbus, NC 28722-8516
Phone (828) 894-3300

Other identifiers 4

IdentifierTypeStateIssuer
1140XOtherNCBLUE CROSS BLUE SHIELD
DF0716OtherRAILROAD MEDICARE
89066RKMedicaidNC
NPB117MedicaidSC

National Provider Directory

National Provider Directory

Locations

44 Hospital Dr
#1A
Columbus, NC 28722
Phone (828) 894-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1225220460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HOSPITAL DR",
            "address_2": "SUITE 1A",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228516",
            "telephone_number": "828-894-3300",
            "fax_number": "828-894-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HOSPITAL DR",
            "address_2": "SUITE 1A",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228516",
            "telephone_number": "828-894-3300",
            "fax_number": "828-894-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLEMAN SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-12",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "HOLLEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-894-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "98-00281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1140X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0716",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89066RK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB117",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.