Active NPI
Victoria Lewis-Holland, D.O.
- General Acute Care Hospital
- Bainbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 041156
- Practice address
- 1500 E Shotwell St
Bainbridge, GA 39819-4256 - Phone
- (229) 246-3500
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 041156 | GA | Primary |
Addresses
Primary practice location
1500 E Shotwell St
Bainbridge, GA 39819-4256
Mailing address
1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000582909N | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Hospital Cir
Donalsonville, GA 39845-1100
Phone 2295245217218
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041156 | GA | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | General Acute Care Hospital | Current | Accepting new patients |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County Georgi | Current | Accepting new patients | |
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Drexis, LLC. | Past | Accepting new patients | |
| Sterling Emergency Services of the Southeast Inc | Past | Accepting new patients |
Locations
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
1201 Notasulga Rd
Tuskegee, AL 36083
Phone (334) 727-7211
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
102 Hospital Cir
Donalsonville, GA 39845
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
Interoperability endpoints
- vlewisholland333160@direct.ochin.org
Organizations & group practices 9
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 Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
General Acute Care Hospital
-
dba Quality of Life Health Complex
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1447200977
-
dba Magnolia Womens Center
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1548788771
-
dba Calhoun Quality Health Care
- Federally Qualified Health Center (FQHC)
- Anniston, AL
- NPI 1013339209
-
dba Cleburne Quality Health Care
- Federally Qualified Health Center (FQHC)
- Heflin, AL
- NPI 1467620989
-
dba Tuskegee Quality Health Care
- Federally Qualified Health Center (FQHC)
- Tuskegee, AL
- NPI 1770929028
-
- Emergency Medicine Physician
- Eatonton, GA
- NPI 1992763627
-
- Emergency Medicine Physician
- Phenix City, AL
- NPI 1639330632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487721718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E SHOTWELL ST",
"city": "BAINBRIDGE",
"state": "GA",
"postal_code": "398194256",
"telephone_number": "229-246-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHOTWELL ST",
"city": "BAINBRIDGE",
"state": "GA",
"postal_code": "398194256",
"telephone_number": "229-246-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS-HOLLAND",
"first_name": "VICTORIA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "GA",
"license": "041156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000582909N",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.