NPIMap

Individual provider Active NPI

Aaron S Holly, PA-C

  • Physician Assistant
  • Henderson, NC
National Provider Identifier
1427286293
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102971 Issued in NC
Practice address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone
(919) 425-1565
Fax
(919) 425-0478
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102971 NC Primary

Addresses

Primary practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508
Phone (919) 425-1565

Other practice location 1

1705 Tarboro St SW
Wilson, NC 27893-3437
Phone (252) 399-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090717000416 NC Practitioner - Physician Assistant 2062564396 Reassigns benefits to 12 organizations
I20170908000543 WV Practitioner - Physician Assistant 2062564396 Reassigns benefits to 1 organization
I20241114004078 TN Practitioner - Physician Assistant 2062564396 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.06 of 100Reported as group
Quality
83.09
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102971NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Banks Professional Services, LLC CurrentSince Jan 16, 2025 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jan 16, 2025 Accepting new patients
Richbend Emergency Physicians, PLLC Physician Assistant CurrentSince Nov 7, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 18, 2014 Accepting new patients
Franklin Regional Emergency Physicians PLLC CurrentSince Jun 2, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 18, 2014 Accepting new patients
Chapel Hill Urgent Care PLLC Past Accepting new patients
Henderson Emergency Physicians, PLLC Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Interoperability endpoints

  • Direct secure messaging: aholly102192@capefearvalley.direct-ci.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1427286293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 CROASDAILE DR",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052508",
            "telephone_number": "919-425-1565",
            "fax_number": "919-425-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "919-425-1565",
            "fax_number": "919-425-0478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Tarboro St SW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933437",
            "country_code": "US",
            "telephone_number": "252-399-8040",
            "fax_number": "252-399-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLY",
        "first_name": "AARON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.