Holland Sport Pouncey, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-1115 Issued in AL

Practice address

1704 S Forest Ave
Luverne, AL 36049-7306

Phone

(334) 335-3383

Fax

(334) 335-3078

NPI assigned

Jan 26, 2016

Last updated

Oct 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Associates LLCGroup PAC ID 0840295192, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Troy Regional Medical Center Hospital, Troy, AL, CCN 010126
• Crenshaw Community Hospital Hospital, Luverne, AL, CCN 011308
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: holland.pouncey@fpa.direct.medconnecthealth.com

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.

• Family Practice Associates LLC

  • Family Medicine Physician
  • Luverne, AL
  • NPI 1255364246
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of Andalusia LLC

  dba Andalusia Health

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• Crenshaw County Health Care Authority

  dba Crenshaw Community Hospital

  • Critical Access Hospital
  • Luverne, AL
  • NPI 1750480406
  Care Compare affiliation
• Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Baptist Medical Center East

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation
• Troy Hospital Health Care Authority

  dba Troy Regional Medical Center

  • Rural Acute Care Hospital
  • Troy, AL
  • NPI 1770814626
  Care Compare affiliation

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1447617147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 S FOREST AVE",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360497306",
            "telephone_number": "334-335-3383",
            "fax_number": "334-335-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 S FOREST AVE",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360497306",
            "telephone_number": "334-335-3383",
            "fax_number": "334-335-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNCEY",
        "first_name": "HOLLAND",
        "middle_name": "SPORT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stephen Maddox, RPT
• Melissa Mikul, PA
• Amy Hilburn Mills, CRNP
• Brandi Norman
• Physicians Choice Dialysis of Luverne LLC
• Professional Resources Management Psychiatric Services, LLC (Beacon Behavioral Hospital)
• Donna Jo Ring, MSOTR/L
• James Thomas Sanders, DMD
• Donita Elaine Setters, PHARMD
• Jana Allen Shelton, OTR/L

• Physician Assistant in Luverne, AL
• Providers in Luverne, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.

Verify at the official NPI Registry.