Nicolette Holliday, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Mobile, AL
NPI 1285863670 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1285863670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD30635 (AL)
- Practice address
- 1601 Center St
Ste 3S
Mobile, AL 36604-1512 - Phone
- (251) 415-1496
- Fax
- (251) 415-1450
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of South Alabama College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayou la Batre Area Health Development Board, Inc.
USA Health Physician Billing Services LLC
Practice addresses (Care Compare)
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone 25182421745412
1601 Ctr St
Mobile, AL 36604-1541
Phone (251) 410-5437
1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000
75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555
Hospital & facility affiliations
- USA Health Children'S & Women'S Hospital
- USA Health University Hospital
- USA Health HCA Providence Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131010001378 | AL | Practitioner - Obstetrics/Gynecology | 9436397692 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113531 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayou la Batre Area Health Development Board, Inc. | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| University of South Alabama | Current |
Accepting new patients | |
| University of South Alabama | Obstetrics & Gynecology | Current |
Accepting new patients |
| Franklin Primary Health Center, Inc | Current |
Accepting new patients | |
| Franklin Primary Health Center Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Bayou la Batre Area Health Development Board, Inc. | Current |
Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| Franklin Primary Health Center, Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama | Past | Accepting new patients |
Locations
12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
1601 Center St
Ste 3S
Mobile, AL 36604
Phone (251) 415-1450
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1601 Center St
Mobile, AL 36604
Phone (251) 410-5437
Interoperability endpoints
- nholliday573388@direct.ochin.org
- https://fhir4.healow.com/fhir/r4/CIEDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD30635 | AL | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | 113531 | FL |
Addresses
Primary practice location
1601 Center St
Ste 3S
Mobile, AL 36604-1512
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 415-1496
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R10170 | Medicaid | AL |
Other providers in Mobile, AL
- Janet Dyess Holley
- Lindsey Jones Holley
- Mickey Woods Holley
- Daniel Holleyman
- Candice Holliday
- Alyssa Hollingsworth
- William-Glenn Langley Hollingsworth
- Anthony Devan Hollman
- Hollon Dental, LLC
- Robin Brabner Hollon
All providers in Mobile, AL · Obstetrics & Gynecology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.