Individual provider Active NPI

Marie Hollis, MD

  • Obstetrics & Gynecology Physician
  • Greenville, TX
National Provider Identifier
1457560534
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N8191 Issued in TX
Practice address
3900 Joe Ramsey Blvd E Ste E
Greenville, TX 75401-7770
Phone
(903) 454-1722
Fax
(903) 454-1750
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N8191 TX Primary

Addresses

Primary practice location

3900 Joe Ramsey Blvd E Ste E
Greenville, TX 75401-7770

Mailing address

3900 Joe Ramsey Blvd E Ste E
Greenville, TX 75401-7770
Phone (903) 454-1722

Other practice location 1

109 Tejas Dr Ste 100
Terrell, TX 75160-6582
Phone (972) 563-3334

Other practice location 2

117 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 885-8471

Other identifiers 3

IdentifierTypeStateIssuer
282878203MedicaidTX
282878204MedicaidTX
282878205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120423000095 TX Practitioner - Obstetrics/Gynecology 8921269762 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marie Hollis, M.D. PLLCGroup PAC ID 0840451670, 4 clinicians

Practice addresses (Care Compare)

3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770
Phone (903) 454-1722

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8191TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 31, 2014 Accepting new patients
Charles D Thompson MD PLLC Obstetrics & Gynecology Current Accepting new patients
Arlington Physician Services PA Obstetrics & Gynecology CurrentSince Mar 1, 2021 Accepting new patients
Marie Hollis, M.D. PLLC Obstetrics & Gynecology CurrentSince Jul 12, 2011 Accepting new patients
Hunt Memorial Hospital District Obstetrics & Gynecology Past Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3900 Joe Ramsey Blvd E
Greenville, TX 75401
Phone (903) 454-1722

3900 Joe Ramsey Blvd E
Ste E
Greenville, TX 75401
Phone (903) 454-1722

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJBCA/Endpoint/EHJBCA

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1457560534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E STE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E STE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Tejas Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751606582",
            "country_code": "US",
            "telephone_number": "972-563-3334",
            "fax_number": "972-563-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-885-8471",
            "fax_number": "903-439-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N8191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282878203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282878204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282878205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.