NPIMap

Individual provider Active NPI

James Hollon, FNP-C

  • Family Nurse Practitioner
  • Gordon, TX
National Provider Identifier
1538683024
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134589 Issued in TX
Practice address
118 S Main St
Gordon, TX 76453-1114
Phone
(254) 693-5211
Fax
(254) 693-5774
NPI assigned
Jul 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134589 TX Primary

Addresses

Primary practice location

118 S Main St
Gordon, TX 76453-1114

Mailing address

PO Box 306
Gordon, TX 76453-0306
Phone (254) 693-5211

Other practice location 1

202 SW 25th Ave Ste 300
Mineral Wells, TX 76067-8299
Phone (940) 328-6521

Other identifiers 1

IdentifierTypeStateIssuer
1588778260MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003004576 TX Practitioner - Nurse Practitioner 2668747544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palo Pinto County Hospital DistrictGroup PAC ID 5890602759, 40 clinicians

Practice addresses (Care Compare)

118 S Main
Gordon, TX 76453-1111
Phone (254) 693-5211

Hospital & facility affiliations

  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2018 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Palo Pinto County Hospital District Family CurrentSince Mar 21, 2022 Accepting new patients
Palo Pinto County Hospital District Family CurrentSince Mar 21, 2022 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2018 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

118 S Main St
Gordon, TX 76453
Phone (254) 693-5211

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Interoperability endpoints

  • Direct secure messaging: james.hollon@229366056681476.direct.elationemr.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1538683024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "GORDON",
            "state": "TX",
            "postal_code": "764530306",
            "telephone_number": "254-693-5211",
            "fax_number": "254-693-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "GORDON",
            "state": "TX",
            "postal_code": "764531114",
            "telephone_number": "254-693-5211",
            "fax_number": "254-693-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 SW 25th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760678299",
            "country_code": "US",
            "telephone_number": "940-328-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLON",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588778260",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordon, TX

Sources for this page

Verify at the official NPI Registry.