Individual provider Active NPI

Carla Ellen Holmes, APRN

  • Acute Care Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1356850887
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
22222 Issued in SC
Practice address
2000 E Greenville St Ste 5000
Anderson, SC 29621-1763
Phone
(864) 512-1658
NPI assigned
Sep 27, 2017
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN271946 GA
Acute Care Nurse Practitioner 363LA2100X 22222 SC Primary

Addresses

Primary practice location

2000 E Greenville St Ste 5000
Anderson, SC 29621-1763

Mailing address

2000 E Greenville St Ste 5000
Anderson, SC 29621-1763
Phone (645) 121-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171227000956 GA Practitioner - Nurse Practitioner 2163780990 Reassigns benefits to 1 organization
I20190213001935 SC Practitioner - Nurse Practitioner 2163780990 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22222SCMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Dec 15, 2018 Accepting new patients
University Cardiology Associates LLC CurrentSince Oct 15, 2017 Accepting new patients
Anderson Oncology-Hematology Clinic PA CurrentSince Oct 27, 2024 Accepting new patients
Anmed Health CurrentSince Dec 15, 2018 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Dec 15, 2018 Accepting new patients
University Cardiology Associates LLC CurrentSince Oct 15, 2017 Accepting new patients

Locations

818 Saint Sebastian Way
Ste 308
Augusta, GA 30901
Phone (706) 724-4400

818 Saint Sebastian Way
Ste 311
Augusta, GA 30901
Phone (706) 724-3473

2500 University Dr
Thomson, GA 30824
Phone (706) 595-1186

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 5000
Anderson, SC 29621
Phone (864) 224-5765

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Interoperability endpoints

  • Direct secure messaging: cholmes10837@direct.anmedhealth.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1356850887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 5000",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211763",
            "telephone_number": "645-121-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 5000",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211763",
            "telephone_number": "864-512-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CARLA",
        "middle_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN271946",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "22222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.