Individual provider Active NPI

Holly Diane Chambliss, M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1447519400
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD33201 Issued in AL
Practice address
750 Peter Bryce Blvd
Tuscaloosa, AL 35401
Phone
(205) 348-6262
Fax
(205) 486-5232
NPI assigned
May 11, 2012
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD33201 AL Primary

Addresses

Primary practice location

750 Peter Bryce Blvd
Tuscaloosa, AL 35401

Mailing address

904 26TH St
Haleyville, AL 35565-1719
Phone (205) 486-5234

Other identifiers 1

IdentifierTypeStateIssuer
176472MedicaidAL

Other names 1

  • Holly Slatton McCaleb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002361 AL Practitioner - Family Practice 6204143969 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD33201ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Jul 27, 2022 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 1, 2019 Accepting new patients
The DCH Health Care Authority CurrentSince May 17, 2024 Accepting new patients
Whatley Health Services, Inc. CurrentSince Jul 27, 2022 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
The DCH Healthcare Authority CurrentSince May 17, 2024 Accepting new patients
The Board of Trustees of the University of Alabama PastSince Nov 18, 2025 Accepting new patients
Winston Technology Inc Family Medicine Past Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1447519400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 26TH ST",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355651719",
            "telephone_number": "205-486-5234",
            "fax_number": "205-486-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-348-6262",
            "fax_number": "205-486-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "HOLLY",
        "middle_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD33201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176472",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MCCALEB",
            "middle_name": "SLATTON",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.