NPIMap

Individual provider Active NPI

Thomas Daniel Holt, MD

  • Family Medicine Physician
  • Hayneville, AL
National Provider Identifier
1306848494
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00025027 Issued in AL
Practice address
629 State Highway 21 S
Hayneville, AL 36040-6033
Phone
(312) 635-0973
Fax
(702) 977-1496
NPI assigned
Aug 10, 2005
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00025027 AL Primary

Addresses

Primary practice location

629 State Highway 21 S
Hayneville, AL 36040-6033

Mailing address

PO Box 7410723
Chicago, IL 60674-0723
Phone (312) 635-0973

Other identifiers 1

IdentifierTypeStateIssuer
009953445MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001005 AL Practitioner - Family Practice 8325010309 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

2500 River Haven Dr
Hoover, AL 35244-1226
Phone (205) 987-0901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000ALMDDentist
00025027ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Mar 23, 2021 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Thomas Holt MD LLC Current Accepting new patients
Community Hospital Inc Current Accepting new patients
NM Pacs 2 LLC CurrentSince Mar 23, 2021 Accepting new patients
Community Hospital Inc CurrentSince Oct 19, 2011 Accepting new patients
Community Hospital Inc Family Medicine CurrentSince Oct 19, 2011 Accepting new patients
Arabella Health & Wellness of Selma Opco LLC Past Accepting new patients
Crowne Health Care of Greenville, LLC Past Accepting new patients
First Docs LLC Past Accepting new patients
Magnolia Haven Nursing Home LLC Past Accepting new patients
Ball Healthcare - Lowndes, Inc. PastSince May 1, 2021 Accepting new patients
Ti-Resurrection Life Center, L.L.C. Past Accepting new patients
Crowne Health Care of Montgomery, LLC Past Accepting new patients
Mercer Bucks Medical Associates, P.C. Past Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

65 Charlton Pl
Deatsville, AL 36022
Phone (334) 263-0618

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

629 State Highway 21 S
Hayneville, AL 36040
Phone (334) 548-5995

2500 River Haven Dr
Hoover, AL 35244
Phone (205) 987-0901

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

875 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-3111

301 Wright St
Tuskegee, AL 36083
Phone (334) 241-5224

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Haven Health & Rehabilitation CenterTuskegee, AL, CCN 015112 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2021
Apr 1, 2021
Orchard Rehabilitation & Healthcare CenterHayneville, AL, CCN 015442 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2021
May 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1306848494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410723",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740723",
            "telephone_number": "312-635-0973",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 STATE HIGHWAY 21 S",
            "city": "HAYNEVILLE",
            "state": "AL",
            "postal_code": "360406033",
            "telephone_number": "312-635-0973",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "THOMAS",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00025027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009953445",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayneville, AL

Sources for this page

Verify at the official NPI Registry.