Individual provider Active NPI

Erin Breeann Lindholm, MD

  • Pediatrics Physician
  • Vidalia, GA
National Provider Identifier
1245520279
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME121336 Issued in FL
Practice address
125 Church St
Vidalia, GA 30474-4770
Phone
(912) 538-8484
Fax
(912) 538-8665
NPI assigned
Apr 11, 2011
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 81304 GA
Pediatrics Physician 208000000X ME121336 FL Primary

Addresses

Primary practice location

125 Church St
Vidalia, GA 30474-4770

Mailing address

5055 High Pointe Dr
Pensacola, FL 32505-1830
Phone (559) 280-7678

Other practice location 1

1617 Oakmont Cir
Niceville, FL 32578-4321
Phone (559) 280-7678

Other names 1

  • Erin Breeann Ekema Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ERIN.LINDHOLM@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150112001372 FL Practitioner - Emergency Medicine 0345564829 Reassigns benefits to 3 organizations
I20181129000615 GA Practitioner - Pediatric Medicine 0345564829 Reassigns benefits to 2 organizations
I20260521002316 TX Practitioner - Pediatric Medicine 0345564829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Corporate Blvd
Lafayette, LA 70508-3844

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81304GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc CurrentSince Jan 1, 2023 Accepting new patients
Emergency Physicians Inc CurrentSince Jan 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jul 1, 2016 Accepting new patients
Cogent Healthcare of Georgia PC CurrentSince May 3, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jul 31, 2019 Accepting new patients
Paragon Emergency Services LLC Pediatrics CurrentSince Jul 1, 2016 Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients
Blue Job Emergency Physicians LLC Past Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • Direct secure messaging: erin.lindholm@hca5.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1245520279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 HIGH POINTE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325051830",
            "telephone_number": "559-280-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744770",
            "telephone_number": "912-538-8484",
            "fax_number": "912-538-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Oakmont Cir",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325784321",
            "country_code": "US",
            "telephone_number": "559-280-7678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDHOLM",
        "first_name": "ERIN",
        "middle_name": "BREEANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2022-01-04",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "81304",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME121336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ERIN.LINDHOLM@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1617 Oakmont Cir",
            "city": "Niceville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325784321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "EKEMA",
            "middle_name": "BREEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.