Active NPI
Eric Michael Holland, M.D.
- Interventional Cardiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 28775
- Practice address
- 501 Marshall St Ste 104
Jackson, MS 39202-1663 - Phone
- (601) 973-4541
- Fax
- (601) 664-1330
- NPI assigned
- Mar 29, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 28775 | MS | |
| Cardiovascular Disease Physician | 207RC0000X | 2017-00672 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 28775 | MS | Primary |
Addresses
Primary practice location
501 Marshall St Ste 104
Jackson, MS 39202-1663
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Other practice location 1
1215 Lee St
Box 800744
Charlottesville, VA 22908-0816
Phone (434) 924-1931
Other practice location 2
160 Dental Cir
Chapel Hill, NC 27599-0816
Phone (919) 966-5201
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Mississippi School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1151
1200 N State St
Jackson, MS 39202-2027
1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261
151 E Metro Dr
Flowood, MS 39232-4405
151 E Metro Pkwy
Suite 201
Flowood, MS 39232-4405
Phone (601) 973-1680
220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 289-4311
401 Baptist Dr
Madison, MS 39110-2009
Phone (601) 969-6404
401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504
501 Marshall St
Suite 104
Jackson, MS 39202-1663
Phone (601) 969-6404
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (601) 969-6404
Hospital & facility affiliations
- Mississippi Baptist Medical Center
- Baptist Medical Center Attala
- Baptist Medical Center-Yazoo
- Mississippi Methodist Rehab Ctr
- Baptist Medical Center-Leake
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-00672 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Cardiovascular Disease | Current | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
Organizations & group practices 5
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.
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Cardiovascular Disease
-
dba MBMC - Neuro Hospitalists
- Neurology Physician
- Jackson, MS
- NPI 1467589556
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
dba MBMC-Hospitalists
- Hospitalist Physician
- Jackson, MS
- NPI 1962867093
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
- Critical Access Hospital
- Carthage, MS
- NPI 1205112539
-
dba Baptist Medical Center - Attala
- Critical Access Hospital
- Kosciusko, MS
- NPI 1730566027
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
dba Methodist Rehab Center
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1275951097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARSHALL ST STE 104",
"city": "JACKSON",
"state": "MS",
"postal_code": "392021663",
"telephone_number": "601-973-4541",
"fax_number": "601-664-1330"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_2": "Box 800744",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-1931",
"fax_number": "434-243-5770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Dental Cir",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275990816",
"country_code": "US",
"telephone_number": "919-966-5201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLAND",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "28775",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2017-00672",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MS",
"license": "28775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Michael Gordon Holder Jr., M.D.
- Ray Holder Jr., D.M.D.
- Holistic Care Hospice of Jackson LLC
- Holistic Healing Therapy, LLC (Creative Counseling, Consulting and Behavioral Health Services)
- Holistic Nursing Solutions
- Jeffrey Cade Holland
- Martha Mangum Holland, D.M.D.
- Peter James Holland
- Tyler James Holland
- Brianna Holley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.