Active NPI
Derek Lamar Holt, DNP, FNP-BC
- Family Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R867446
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-3992
- NPI assigned
- Apr 26, 2007
- 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 Nurse Practitioner | 363LF0000X | R867446 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
JMM Suite 2525
Jackson, MS 39216-4500
Phone (601) 815-9528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00668647 | Other | MS | MEDICARE RR# UP-EM |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.9 of 100
- Quality
- 80.75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R867446 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Mississippi Physicians, LLP | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Mississippi Physicians LLP | Current | Accepting new patients |
Locations
870 Main St
Fayette, MS 39069
Phone (601) 786-3401
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
2500 N State St
Ste 2525
Jackson, MS 39216
Phone (601) 984-6441
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
Interoperability endpoints
- https://api.platform.athenahealth.com/13136/brand/1/csg/1/fhir/r4
- derek.holt.1@13136.direct.athenahealth.com
- dholt616231@direct.bmhcc.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Rural Acute Care Hospital
- Fayette, MS
- NPI 1043204555
-
- Multi-Specialty Clinic/Center
- Fayette, MS
- NPI 1841971348
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1447470299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "JMM SUITE 2525",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-9528",
"fax_number": "601-984-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "DEREK",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R867446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR# UP-EM",
"identifier": "P00668647",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.