Holly Mahalitc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R881658 Issued in MS

Practice address

1257 Highway 61 S
Hollandale, MS 38748-3864

Phone

(662) 827-2214

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arden Home Health of West Ms, LLC Home health agency, Ridgeland, MS, CCN 257115
• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.mahalitc@3912.securemail.prognocis.com

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.

• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731

  MS

  Medicare reassignment Care Compare group NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134
  NPD (past)
• Pain Treatment Centers of America, PLLC

  • Family Medicine Physician
  • Rolling Fork, MS
  • NPI 1740946573
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delta Health System

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887
  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation
• Mid-Delta Home Health, Inc.

  • Home Health Agency
  • Belzoni, MS
  • NPI 1649295684
  Care Compare affiliation

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1265801682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 HIGHWAY 61 S",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387483864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 HIGHWAY 61 S",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387483864",
            "telephone_number": "662-827-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALITC",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R881658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Management Home Maker Services
• Patricia Ann Hunter
• In His Presence Adult Daycare Inc.
• Loving Hands in-Home Nursing
• Loving Hands in-Home Respite
• Mississippi State Department of Health
• Next Level Health and Wellness
• Nichols Occupational Therapy PLLC
• Olp Services LLC
• Melissa Painter, LPC

• Family Nurse Practitioner in Hollandale, MS
• Providers in Hollandale, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.