Active NPI
Vertis L Holley Sr.
- Home Modifications Contractor
- Aiken, SC
National Provider Identifier
1427702604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 140 Alpine Dr Apt Suite
Aiken, SC 29803-9712 - Phone
- (803) 979-0240
- NPI assigned
- Feb 7, 2022
- Last updated
- Feb 7, 2022
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | SC | Primary |
Addresses
Primary practice location
140 Alpine Dr Apt Suite
Aiken, SC 29803-9712
Mailing address
140 Alpine Dr
Aiken, SC 29803-9712
Phone (803) 646-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1427702604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ALPINE DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298039712",
"telephone_number": "803-646-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ALPINE DR APT SUITE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298039712",
"telephone_number": "803-979-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "VERTIS",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.