Holly Louise Hancock, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

68755 Issued in FL

Practice address

1833 Boulevard
VA Outpatient Clinic, Cardiology
Jacksonville, FL 32206-4382

Phone

(904) 232-2751

NPI assigned

Aug 15, 2005

Last updated

Jul 26, 2010By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Baptist Cardiology, Inc.

  dba Baptist Heart Specialists

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1790743854
  NPD
• Ecg Associates of Jacksonville P a

  • Cardiology Technician
  • Jacksonville, FL
  • NPI 1679796395
  NPD (past)
• Southern Heart Group

  dba Diagnostic Cardiology Assoc

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1962484220
  NPD (past)
• St Vincents Electrocardiography, Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1902964000
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1497757827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 BOULEVARD",
            "address_2": "VA OUTPATIENT CLINIC, CARDIOLOGY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064382",
            "telephone_number": "904-232-2751",
            "fax_number": "904-232-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 BOULEVARD",
            "address_2": "VA OUTPATIENT CLINIC, CARDIOLOGY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064382",
            "telephone_number": "904-232-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "HOLLY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "68755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251282300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Watford Hanberry, MS CCC-SLP
• Kunal Krishna Hanchate, MD
• Ashley Hancock
• Autumn M Hancock, APRN
• Benjamin Kyle Hancock, LCSW
• Kevin John Hancock, M.D.
• Linda L Hancock, CNP
• Michael Erle Hancock, RBT, MA
• Hand & Hand Companion Services LLC
• Hand N Hand Healthcare Services LLC

• Cardiovascular Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.