Quincy Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 0007688 Issued in FL

Legal business name

QUINCY FAMILY MEDICINE INC

Practice address

300 E Jefferson St
Quincy, FL 32351-2530

Phone

(850) 875-1146

Fax

(850) 875-1218

NPI assigned

Feb 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carla Monica Holloman, D.O.

Title

Physician/Owner

Phone

(850) 875-1146

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1386812915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512530",
            "telephone_number": "850-875-1146",
            "fax_number": "850-875-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512530",
            "telephone_number": "850-875-1146",
            "fax_number": "850-875-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "850-875-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 0007688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K1831",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "167177",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255092000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA HEALTHPLAN",
            "identifier": "069578",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priceless Providers LLC
• PRN Staffers FL
• Kenderricka Pruitt
• Quincy Care, PA
• Quincy Creek Emergency Physicians LLC
• Maricela Ramirez Martinez
• Ereka Reddick
• Samantha Register, RBT
• Samantha Layne Register, COTA/L
• Doris Ann Richardson, LPN

• Family Medicine Physician in Quincy, FL
• Providers in Quincy, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.