Active NPI
James N Holliday, PHD, MD
- Ophthalmology Physician
- Memphis, TN
National Provider Identifier
1326067737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 18644
- Practice address
- 4571 Summer Ave
Memphis, TN 38122-4135 - Phone
- (901) 680-0043
- Fax
- (901) 680-8030
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 18644 | TN | Primary |
Addresses
Primary practice location
4571 Summer Ave
Memphis, TN 38122-4135
Mailing address
4571 Summer Ave
Memphis, TN 38122-4135
Phone (901) 680-0043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3034497 | Medicaid | TN | |
| 0840082 | Other | TN | UNITED HEALTHCARE ID |
| 3037111 | Other | TN | BCBS PROVIDER ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18644 | TN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- holliday@crec.direct.iopracticeware.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1326067737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4571 SUMMER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381224135",
"telephone_number": "901-680-0043",
"fax_number": "901-680-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4571 SUMMER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381224135",
"telephone_number": "901-680-0043",
"fax_number": "901-680-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "JAMES",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHD, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "18644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3034497",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "0840082",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "3037111",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.