NPIMap

Individual provider Active NPI

Matthew Brady Holler, MD

  • Internal Medicine Physician
  • Pinehurst, NC
National Provider Identifier
1467445429
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2006-01784 Issued in NC
Practice address
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone
(910) 715-2164
Fax
(910) 715-4493
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2006-01784 NC Primary

Addresses

Primary practice location

155 Memorial Dr
Pinehurst, NC 28374-8710

Mailing address

PO Box 8500
Pinehurst, NC 28374-8500
Phone (910) 715-1010

Other identifiers 6

IdentifierTypeStateIssuer
194239OtherNCMEDCOST PROVIDER #
89066MRMedicaidNC
P00364847OtherNCPALMETTO GOVT SERVICES
144APOtherNCBCBS
N01784OtherSCSC MEDICAID
FH1100185OtherNCFIRSTCAROLINA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000082 NC Practitioner - HospitalistPractitioner - Internal Medicine 1759383995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-2164

Hospital & facility affiliations

  • Firsthealth Home Care Home health agency, West End, NC, CCN 347230
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-01784NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth-Unc Maternal-Fetal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
FHPG, LLC CurrentSince Jan 1, 2015 Accepting new patients
FHPG, LLC CurrentSince Jan 1, 2015 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jul 1, 2008 Accepting new patients
FHPG, LLC Current Accepting new patients
Pinehurst Medical Clinic, Inc. Internal Medicine Past Accepting new patients
Medical Education Assistance Corporation Internal Medicine PastSince Aug 1, 2015 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

923 W 3rd St
Pembroke, NC 28372
Phone (910) 521-0564

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

Interoperability endpoints

  • Direct secure messaging: mholler13073@firsthealth.direct-ci.net

Organizations & group practices 10

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 5

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1467445429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748500",
            "telephone_number": "910-715-1010",
            "fax_number": "910-715-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-2164",
            "fax_number": "910-715-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLER",
        "first_name": "MATTHEW",
        "middle_name": "BRADY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2006-01784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER #",
            "identifier": "194239",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89066MR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GOVT SERVICES",
            "identifier": "P00364847",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144AP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N01784",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINA",
            "identifier": "FH1100185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.