Holly Virginia Mackenna, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

025358 Issued in LA

Practice address

2066 NC Highway 125
Roanoke Rapids, NC 27870-9436

Phone

(252) 536-5000

Fax

(252) 536-2258

NPI assigned

Jul 28, 2006

Last updated

Sep 16, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Psychiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Group IncGroup PAC ID 9739090226, shared by 19 NPIs, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1598253734
  Medicare reassignment NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Jackson

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1689626178
  Medicare reassignment NPD
• Rural Health Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1871081000
  Medicare reassignment NPD
• Rural Health Group Inc

  dba Rural Health Group at Twin County

  • Federally Qualified Health Center (FQHC)
  • Hollister, NC
  • NPI 1902995145
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Whitakers

  • Federally Qualified Health Center (FQHC)
  • Whitakers, NC
  • NPI 1013157171
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Lake Gaston

  • Federally Qualified Health Center (FQHC)
  • Littleton, NC
  • NPI 1093767535
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Henderson

  • Federally Qualified Health Center (FQHC)
  • Henderson, NC
  • NPI 1124269022
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Stovall

  • Federally Qualified Health Center (FQHC)
  • Stovall, NC
  • NPI 1609236371
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Roanoke Rapids/Dental

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1669500997
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Norlina

  • Federally Qualified Health Center (FQHC)
  • Norlina, NC
  • NPI 1700045820
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Roanoke Rapids

  • Federally Qualified Health Center (FQHC)
  • Roanoke Rapids, NC
  • NPI 1720030232
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Enfield

  • Federally Qualified Health Center (FQHC)
  • Enfield, NC
  • NPI 1952665929
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1487668976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5844",
            "fax_number": "252-519-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709436",
            "telephone_number": "252-536-5000",
            "fax_number": "252-536-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 General Meyer Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701313588",
            "country_code": "US",
            "telephone_number": "504-376-5777",
            "fax_number": "504-364-4077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKENNA",
        "first_name": "HOLLY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "19239",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "025358",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2025-02667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LP Roanoke Rapids, LLC (Signature HealthCARE of Roanoke Rapids)
• James L Lupton, MA, LPA
• Alan S Luria, MD
• Sharon Faye Lynch-Jones, FNP-C
• M&T Counseling Services PLLC
• Marco Pestanas Magno, PT
• Magnolia Gardens, Inc. (Magnolia Gardens of Warrenton)
• Magnolis Gardens, Inc (Magnolia Gardens Senior Care)
• Curtis Mallory
• Ravinder Mamedi, M.D.

• Psychiatry Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.