Holly G Summerlin, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

18604 Issued in MS

Practice address

4507 Hospital St
Pascagoula, MS 39581-5336

Phone

(228) 762-8132

Fax

(228) 769-9231

NPI assigned

Dec 28, 2005

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 MS

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

Obstetrics/Gynecology

Education

University of Mississippi School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Singing River Health System Hospital, Pascagoula, MS, CCN 250040
• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hsummerlin@direct.mhg.com
• Direct secure messaging: holly.summerlin.1@28954.direct.athenahealth.com

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.

• Obhg Mississippi, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1083995674
  Medicare reassignment Care Compare group NPD
• Southern Women's Health, PLLC

  • Obstetrics Physician
  • Jackson, MS
  • NPI 1174744379
  Medicare reassignment Care Compare group NPD
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598
  Medicare reassignment
• Memorial Hospital at Gulfport

  dba Memorial Surgery Center Cedar Lake

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635
  NPD
• Memorial Hospital at Gulfport

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1619304185
  NPD
• Memorial Hospital at Gulfport

  dba Memorial Emergency Physicians

  • Emergency Medicine Physician
  • Gulfport, MS
  • NPI 1962780379
  NPD
• Oxford Clinic for Women, PLLC

  • Specialist
  • Oxford, MS
  • NPI 1578105540
  NPD
• Southern Women's Health, PLLC

  dba Women's Pavilion of South Mississippi

  • Obstetrics & Gynecology Physician
  • Ellisville, MS
  • NPI 1407235971
  NPD
• Lucedale OBGYN Center

  dba OB/GYN Associates Hospital Services

  • Obstetrics & Gynecology Physician
  • Lucedale, MS
  • NPI 1093023491
  NPD (past)
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1073606901
  NPD (past)
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Singing River Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1639797913
  Care Compare affiliation
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1508843772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815336",
            "telephone_number": "228-762-8132",
            "fax_number": "228-769-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815336",
            "telephone_number": "228-762-8132",
            "fax_number": "228-769-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERLIN",
        "first_name": "HOLLY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "18604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08826864",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah N Stallworth, APRN
• Mark G. Stavros, M. D.
• Thomas E. Stevens Jr., MD
• John Stoudenmire Jr., PHD
• Lacey Sullivan, M.D.
• Stephen Richard Sumrall, MD
• Ediz Tasan, M.D.
• Jessica Bosarge Taylor, DMD
• John Paul Taylor
• Millard Austin Taylor, DDS

• Obstetrics & Gynecology Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.