Individual provider Active NPI

George L Holmes III, MD

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1477548154
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD7779 Issued in TN
Practice address
397 Wallace Rd
Suite 100
Nashville, TN 37211-4854
Phone
(615) 834-6166
Fax
(615) 781-9755
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 MD7779 TN Primary

Addresses

Primary practice location

397 Wallace Rd
Suite 100
Nashville, TN 37211-4854

Mailing address

397 Wallace Rd
Suite 100
Nashville, TN 37211-4854
Phone (615) 834-6166

Other identifiers 1

IdentifierTypeStateIssuer
3154782MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100823000313 TN Practitioner - Family Practice 9335273671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Medical Group-Southern Hills IncGroup PAC ID 0244225621, 23 clinicians

Practice addresses (Care Compare)

397 Wallace Rd
Suite 100
Nashville, TN 37211-8025
Phone (615) 834-6166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD7779TNMDFamily Medicine Physician
7779TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group-Southern Hills Inc Family Medicine CurrentSince Aug 1, 1996 Accepting new patients

Locations

397 Wallace Rd
Ste 100
Nashville, TN 37211
Phone (615) 834-6166

Interoperability endpoints

  • Direct secure messaging: george.holmes@hca1.eclinicaldirectplus.com

Organizations & group practices 1

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 6

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1477548154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-834-6166",
            "fax_number": "615-781-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-834-6166",
            "fax_number": "615-781-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD7779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154782",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.