Hollandale Family Care, P.C.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HOLLANDALE FAMILY CARE, P.C.

Practice address

1257 Highway 61 South
Hollandale, MS 38748

Phone

(662) 827-2214

Fax

(662) 827-5019

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John L Herzog Sr., M.D.NPI 1093734949

Title

President

Phone

(662) 843-6034

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Herzog Sr., MD

  • Cardiovascular Disease Physician
  • Greenville, MS
  • NPI 1093734949
  NPD (past) Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1245290451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5368",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045368",
            "telephone_number": "662-827-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 HIGHWAY 61 SOUTH",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "38748",
            "telephone_number": "662-827-2214",
            "fax_number": "662-827-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLANDALE FAMILY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-843-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken J Gailes, PT
• Blythe Anne Hamburg, P-LPC
• Senthan Harris
• Thomas Hassett, PHARMACISTS
• Hollandale Family Care
• Hollandale Primary Care, Inc.
• Hollandale School District
• Home Management Home Maker Services
• Patricia Ann Hunter
• In His Presence Adult Daycare Inc.

• Rural Health Clinic/Center in Hollandale, MS
• Providers in Hollandale, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.