Active NPI
Larry Array Hollar Jr., M.D.
- Family Medicine Physician
- Mocksville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 98-00910
- Practice address
- 1188 Yadkinville Rd
Mocksville, NC 27028-2037 - Phone
- (367) 167-4353
- Fax
- (336) 702-9277
- NPI assigned
- Oct 17, 2006
- Last updated
- Oct 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 98-00910 | NC | Primary |
Addresses
Primary practice location
1188 Yadkinville Rd
Mocksville, NC 27028-2037
Mailing address
Provider Enrollment
100 Kimel Forest Drive
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127R4 | Other | NC | BLUE CROSS BLUE SHIELD |
| 89127R4 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 753-1555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-00910 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
2311 Lewisville Clemmons Rd
Fl 3
Clemmons, NC 27012
Phone (336) 713-8900
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435
1038 Bethania Rural Hall Rd
Rural Hall, NC 27045
Phone (336) 716-9270
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
105 Vest Mill Cir
Winston Salem, NC 27103
Phone (336) 718-7800
1381 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-0100
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
3333 Brookview Hills Blvd
Ste 201
Winston Salem, NC 27103
Phone (336) 602-2801
390 W Salem Ave
Winston Salem, NC 27101
Phone (336) 721-2375
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- lhollar2792131@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Salem Family Medicine
- Family Medicine Physician
- Winston Salem, NC
- NPI 1912955089
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Oceanside Family Medicine
- Family Medicine Physician
- Leland, NC
- NPI 1255724571
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1417038738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROVIDER ENROLLMENT",
"address_2": "100 KIMEL FOREST DRIVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-713-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 YADKINVILLE RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282037",
"telephone_number": "367-167-4353",
"fax_number": "336-702-9277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAR",
"first_name": "LARRY",
"middle_name": "ARRAY",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2023-10-23",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "98-00910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "127R4",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89127R4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mocksville, NC
- Lorri Jones Hayes, LPCA
- Headgear Medical Equipment, LLC
- Jordan Leigh Hemmings, LCMHC, NCC
- Angelia Wood Hendren, OT
- Cynthia Jane Hogan, L.C.A.S.
- Matthew Paul Horn, MD
- Pamela Lyn Hutton, FNP
- Impact of the Piedmont, Inc.
- Christopher R. Ioan, DDS
- Iredell Physician Network LLC (Family Care Center of Mocksville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.