Reid Andrew Holly, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

905504 Issued in MS

Practice address

2889 S Lamar Blvd
Oxford, MS 38655-5433

Phone

(662) 272-1001

Fax

(866) 228-7940

NPI assigned

Aug 31, 2022

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RH Arise Venture of Tupelo LLCGroup PAC ID 2567840309, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• RH Arise Venture of Tupelo LLC

  • Psychiatry Physician
  • Tupelo, MS
  • NPI 1124776067
  Medicare reassignment Care Compare group NPD
• TMK Enterprises

  dba Southern Grace Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1184251795
  Medicare reassignment NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1407576382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COUNTY ROAD 3012",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653891",
            "telephone_number": "601-331-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555433",
            "telephone_number": "662-272-1001",
            "fax_number": "866-228-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLY",
        "first_name": "REID",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.jacksonpsychiatrygroup.com",
            "affiliation": "N",
            "endpointDescription": "psychiatry group website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2090 Old Taylor Rd",
            "city": "Oxford",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386555245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holder Anesthesia
• Penneye Holder, CRNA
• Alise Erin Holland, B.A., PCCSS
• Vance Holland, ATC
• Sharon Yvette Holloway, MSW, PCMHT
• Karissa Shunette Holmes, M.ED
• Kaylee Holmes, DDS
• Home Care of Mississippi, LLC (Home Instead Senior Care)
• Home Medical Products, Inc
• Ann Homolik, MED

• Psychiatric/Mental Health Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.