Individual provider Active NPI

David G Holmes, MD

  • Cardiovascular Disease Physician
  • Opelika, AL
National Provider Identifier
1467489286
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00025379 Issued in AL
Practice address
2601 Village Professional Dr N
Opelika, AL 36801-4784
Phone
(334) 528-5400
Fax
(334) 528-5421
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00025379 AL Primary

Addresses

Primary practice location

2601 Village Professional Dr N
Opelika, AL 36801-4784

Mailing address

2601 Village Professional Dr N
Opelika, AL 36801-4784
Phone (334) 528-5400

Other identifiers 18

IdentifierTypeStateIssuer
009911359MedicaidAL
009911583MedicaidAL
051006264OtherALBCBS PROVIDER NUMBER
009911354MedicaidAL
009911356MedicaidAL
051006261OtherALBCBS PROVIDER NUMBER
051006268OtherALBCBS PROVIDER NUMBER
009911358MedicaidAL
1467489286OtherALNPI
00911589MedicaidAL
009911586MedicaidAL
051006259OtherALBCBS PROVIDER NUMBER
051006263OtherALBCBS PROVIDER NUMBER
009911357MedicaidAL
009911587MedicaidAL
009911588MedicaidAL
009911361MedicaidAL
051006254OtherALBC PROVIDER NUMBER

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
I20031209000635 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 5294631495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Peripheral Vascular Disease
Education
Louisiana State University School of Medicine in Shreveport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Heart and Vascular, LLCGroup PAC ID 9638344708, 31 clinicians

Practice addresses (Care Compare)

109 Main St
Roanoke, AL 36274-1729
Phone (334) 528-5400

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-5400

2129 Moonbrook Dr
Dadeville, AL 36853-5640
Phone (334) 528-5400

2601 Village Professional Dr N
Opelika, AL 36801-4784
Phone (334) 528-5400

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Eamc - Lanier Hospital, Valley, AL, CCN 010780
  • Tanner Medical Center-East Alabama Hospital, Wedowee, AL, CCN 011306

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
64.65
Promoting interoperability
100
Improvement activities
40
Cost
78.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair36
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025379ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Heart and Vascular, LLC CurrentSince Nov 5, 2011 Accepting new patients
East Alabama Heart and Vascular, LLC CurrentSince Nov 5, 2011 Accepting new patients
The East Alabama Health Care Authority Past Accepting new patients

Locations

2375 Champions Blvd
Auburn, AL 36830
Phone (334) 745-6447

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

2601 Village Professional Dr N
Opelika, AL 36801
Phone (334) 528-5959

59928 Highway 22
Roanoke, AL 36274
Phone (334) 863-4111

109 Main St
Roanoke, AL 36274
Phone (334) 528-2663

Organizations & group practices 3

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 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1467489286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014784",
            "telephone_number": "334-528-5400",
            "fax_number": "334-528-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VILLAGE PROFESSIONAL DR N",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368014784",
            "telephone_number": "334-528-5400",
            "fax_number": "334-528-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00025379",
            "primary": true
        }
    ],
    "identifiers": [
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        },
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            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051006264",
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        },
        {
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            "issuer": null,
            "identifier": "009911354",
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        },
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            "identifier": "009911356",
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        {
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            "identifier": "051006261",
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        },
        {
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            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051006268",
            "state": "AL"
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        {
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            "identifier": "009911358",
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        {
            "code": "05",
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            "identifier": "00911589",
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        {
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            "identifier": "009911586",
            "state": "AL"
        },
        {
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            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051006259",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051006263",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911357",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911587",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911588",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911361",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NUMBER",
            "identifier": "051006254",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.