Active NPI
Rocky Holmes, FNP
- Nurse Practitioner
- Flowood, MS
National Provider Identifier
1407991086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R685993
- Practice address
- 232 Market St
Flowood, MS 39232-3339 - Phone
- (337) 991-9276
- Fax
- (337) 943-0846
- NPI assigned
- Feb 21, 2007
- Last updated
- Mar 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R685993 | MS | Primary |
| Family Nurse Practitioner | 363LF0000X | APN8335 | TN |
Addresses
Primary practice location
232 Market St
Flowood, MS 39232-3339
Mailing address
3856 Hwy 57 West
PO Box 99
Ramer, TN 38367
Phone (731) 645-6118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN8335 | Other | TN | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R685993 | MS | MD | Nurse Practitioner |
| APN8335 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Clinic of Oxford | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of Tennessee LLC | Nurse Practitioner | Current | Accepting new patients |
| Digital Diagnostic Imaging Inc | Past | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
1487 Belk Blvd
Oxford, MS 38655
Phone (601) 234-1090
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IABFAA
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1407991086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3856 HWY 57 WEST",
"address_2": "PO BOX 99",
"city": "RAMER",
"state": "TN",
"postal_code": "38367",
"telephone_number": "731-645-6118",
"fax_number": "731-645-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 MARKET ST",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392323339",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "ROCKY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R685993",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN8335",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "APN8335",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Holistic Psychological Clinic, PLLC
- Joshalyn Holloway-Sandifer, SLP
- Carly Holloway
- Rebecca E Holman, FNP-C
- Dennis Holmes, LAC #AC00002
- Kymberly A Holy, CRNA
- Home Health Care Affiliates of Central Mississippi, LLC (CenterWell Home Health)
- Hometown Healthcare Inc
- Hometown Medical LLC
- Sharon N Hong, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.