Active NPI
Roland Hollis, M.D.
- Family Medicine Physician
- Paragould, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C7703
- Practice address
- 400 Highway 49 N
Suite 2
Paragould, AR 72450-4007 - Phone
- (870) 236-1014
- Fax
- (870) 236-9669
- NPI assigned
- Oct 19, 2007
- Last updated
- Feb 20, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C7703 | AR | Primary |
Addresses
Primary practice location
400 Highway 49 N
Suite 2
Paragould, AR 72450-4007
Mailing address
400 Highway 49 N
Suite 2
Paragould, AR 72450-4007
Phone (870) 236-1014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117653001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070529000550 | AR | Practitioner - Family Practice | 4688771520 | Practice locations: Paragould, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Hwy 49 N
Suite 2
Paragould, AR 72450-4026
Phone (870) 236-1014
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 17 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollis Family Medical Clinic, PLC | Past | Accepting new patients | |
| Roland Hollis MD | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHDACD/Endpoint/DHDACD
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Paragould, AR
- NPI 1295986669
-
- Family Medicine Physician
- Paragould, AR
- NPI 1962403956
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Methodist Medical Center
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1528257003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HIGHWAY 49 N",
"address_2": "SUITE 2",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504007",
"telephone_number": "870-236-1014",
"fax_number": "870-236-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHWAY 49 N",
"address_2": "SUITE 2",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504007",
"telephone_number": "870-236-1014",
"fax_number": "870-236-9669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "ROLAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C7703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117653001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.