Active NPI
Albert Edward Holt IV, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME148102
- Practice address
- 945 Lane Ave S
Jacksonville, FL 32205-4706 - Phone
- (888) 831-2949
- Fax
- (833) 973-6210
- NPI assigned
- Oct 3, 2005
- Last updated
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D00612264 | MD | |
| Internal Medicine Physician | 207R00000X | 159488 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME148102 | FL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 159488 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D0061264 | MD |
Addresses
Primary practice location
945 Lane Ave S
Jacksonville, FL 32205-4706
Mailing address
358 Plaza
Atlantic Beach, FL 32233-5442
Phone (888) 831-2949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D00612264 | MD | MD | Internal Medicine Physician |
| 159488 | MA | MD | Critical Care Medicine (Internal Medicine) Physician |
| D0061264 | MD | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reza Health LLC | Current | Accepting new patients | |
| Pulmonary Disease and Critical Care Associates, PA., | Past | Accepting new patients | |
| East Bay Regional Critical Care and Pulmonary Medicine, Inc. | Critical Care Medicine | Past | Accepting new patients |
| Premier Physician Group, LLC | Internal Medicine | Past | Accepting new patients |
| Intensimed, LLC | Critical Care Medicine | Past | Accepting new patients |
| Pulmonary Disease and Critical Care Associates, P.a. | Past | Accepting new patients |
Locations
945 Lane Ave S
Jacksonville, FL 32205
Phone (888) 831-2949
Interoperability endpoints
- https://api.platform.athenahealth.com/33133/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
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Critical Care Medicine
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- NPI 1801854088
-
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- NPI 1972838316
-
dba Pulmonary Disease and Critical Care Assoc Center for Sleep Disorders
- Sleep Medicine (Internal Medicine) Physician
- Columbia, MD
- NPI 1033347877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1235126434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 PLAZA",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322335442",
"telephone_number": "888-831-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 LANE AVE S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322054706",
"telephone_number": "888-831-2949",
"fax_number": "833-973-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "ALBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D00612264",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "159488",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME148102",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "159488",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D0061264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.