Holly Elizabeth Roberts

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

730 Mount Pleasant Rd
Ferguson, NC 28624-9026

Phone

(336) 452-4521

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MLP Church MD Family Practice IncGroup PAC ID 3577604578, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: holly.church@direct.mlpchurchfamilypractice.nchie.net

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.

• MLP Church MD Family Practice, Inc.

  • Family Medicine Physician
  • Wilkesboro, NC
  • NPI 1710215538

  NC

  Medicare reassignment Care Compare group
• Kriska Health, PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Mount Airy, NC
  • NPI 1801617881
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1346852704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 INDUSTRIAL DR",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977345",
            "telephone_number": "336-667-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MOUNT PLEASANT RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286249026",
            "telephone_number": "336-452-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tana Phillips Morrow, MA, LPC, NCC, NCSC
• Mary L Phillips, MD
• Rha Health Services NC, LLC
• Rha North Carolina Mr, Inc.
• Rick Hensley DMD, PA Dba Rick Hensley Family Dentistry
• West Wilkes Medical Center, Inc.
• Wilkes Physician Network, Inc.

• All providers in Ferguson, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.

Verify at the official NPI Registry.