Individual provider Active NPI

Steven Holley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1225762933
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26267 Issued in SC
Practice address
2777 Speissegger Dr
North Charleston, SC 29405-8229
Phone
(843) 747-5830
NPI assigned
Jul 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26267 SC Primary

Addresses

Primary practice location

2777 Speissegger Dr
North Charleston, SC 29405-8229

Mailing address

2777 Speissegger Dr
North Charleston, SC 29405-8229
Phone (843) 747-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018002866 SC Practitioner - Nurse Practitioner 2062888985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Behavioral Health Solutions, LLCGroup PAC ID 4688674807, 2 clinicians

Practice addresses (Care Compare)

2777 Speissegger Dr
Charleston, SC 29405-8229
Phone (843) 266-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26267SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Behavioral Health Solutions, LLC CurrentSince Jun 23, 2022 Accepting new patients

Locations

2777 Speissegger Dr
North Charleston, SC 29405
Phone (843) 266-7080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1225762933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 SPEISSEGGER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058229",
            "telephone_number": "843-747-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 SPEISSEGGER DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058229",
            "telephone_number": "843-747-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "STEVEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "26267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.