Individual provider Active NPI

Charlotte A Hollman, MD

  • Neurology Physician
  • Baton Rouge, LA
National Provider Identifier
1316948151
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
014131 Issued in LA
Practice address
7373 Perkins Road
Baton Rouge, LA 70808
Phone
(225) 769-4044
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 014131 LA Primary

Addresses

Primary practice location

7373 Perkins Road
Baton Rouge, LA 70808

Mailing address

7373 Perkins Road
Baton Rouge, LA 70808
Phone (225) 769-4044

Other practice location 1

8415 Goodwood Blvd Ste 202
Baton Rouge, LA 70806-7851
Phone (225) 765-8013

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chollman4363@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000317 LA Practitioner - Pediatric MedicinePractitioner - Other (Physician)Practitioner - Neurology 1951315951 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014131LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health CurrentSince Jul 24, 2021 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Neurology CurrentSince Nov 1, 2005 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Jul 24, 2021 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Nov 1, 2005 Accepting new patients

Locations

8415 Goodwood Blvd
Ste 202
Baton Rouge, LA 70806
Phone (225) 765-8013

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

353 N 12th St
Baton Rouge, LA 70802
Phone (225) 242-4890

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

15481 W Club Deluxe Rd
Hammond, LA 70403
Phone (985) 543-4165

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

Interoperability endpoints

  • Direct secure messaging: chollman4363@direct.casso.us.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1316948151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 PERKINS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-769-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 PERKINS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-769-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8415 Goodwood Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708067851",
            "country_code": "US",
            "telephone_number": "225-765-8013",
            "fax_number": "225-765-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLMAN",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "014131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chollman4363@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "chollman4363@direct.casso.us.com",
            "address_1": "8415 Goodwood Blvd Ste 202",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708067851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8415 Goodwood Blvd Ste 202",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708067851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.