Holly C Provost, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

024378 Issued in LA

Practice address

3975 I 49 S Service Rd
Suite 205a
Opelousas, LA 70570-0775

Phone

(337) 942-2323

Fax

(337) 942-2626

NPI assigned

Jul 13, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Obstetrics/Gynecology

Education

Louisiana State University School of Medicine in Shreveport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

Merit-based Incentive Payment System (MIPS)

Final score

96.05 of 100Reported as group

Quality

82.12

Promoting interoperability

100

Improvement activities

40

Cost

71.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment Care Compare group NPD
• Chachere Provost Medicine, LLC

  • Obstetrics & Gynecology Physician
  • Opelousas, LA
  • NPI 1780875740
  NPD (past) Authorized official
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• Lsu Healthcare Network - Lafayette

  • Specialist
  • Lafayette, LA
  • NPI 1568944486
  NPD (past)

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

• University Hospital & Clinics, Inc.

  dba Ochsner University Hospital & Clinics

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1306281126
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356349245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 I 49 S SERVICE RD",
            "address_2": "SUITE 205A",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-942-2323",
            "fax_number": "337-942-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 I 49 S SERVICE RD",
            "address_2": "SUITE 205A",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-942-2323",
            "fax_number": "337-942-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "HOLLY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "024378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "160059334",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID NUMBER",
            "identifier": "7352418",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaisha D Prejean
• Tom Duane Price, MD
• Brenda Proctor
• Prompt Succor Nursing Home
• Prompt Succor Nursing Home Corporation (Our Lady of Prompt Succor)
• John R Purser, OT
• Stacey S Purser
• Quality Uniforms and Medical Supplies
• Steve R Quebedeaux, PARAMEDIC
• Rachael a Tate MD LLC

• Obstetrics & Gynecology Physician in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.