Active NPI
Kaylie Holland
- Adult Medicine Physician
- Paragould, AR
National Provider Identifier
1275216798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 216348
- Practice address
- 1104 Jones Rd
Paragould, AR 72450-7579 - Phone
- (870) 692-6015
- Fax
- (870) 268-6133
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 216348 | AR | Primary |
Addresses
Primary practice location
1104 Jones Rd
Paragould, AR 72450-7579
Mailing address
1104 Jones Rd
Paragould, AR 72450-7579
Phone (870) 268-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216348 | AR | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Drug Company | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Paragould, AR
- NPI 1639480049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1275216798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 JONES RD",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724507579",
"telephone_number": "870-268-6100",
"fax_number": "870-268-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 JONES RD",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724507579",
"telephone_number": "870-692-6015",
"fax_number": "870-268-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "KAYLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "AR",
"license": "216348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.