Rebecca E Hollingsworth, MSN, GNP-BC, FNP-BC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

R790914 Issued in MS

Practice address

20 Rawls Springs Loop Rd
Hattiesburg, MS 39402-7801

Phone

(601) 582-6069

Fax

(601) 579-4842

NPI assigned

Jun 30, 2010

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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 and National Provider Directory roles.

• Comprehensive Pain Center of Mississippi

  • Interventional Pain Medicine Physician
  • Madison, MS
  • NPI 1124275565
  Medicare reassignment NPD
• Ms Pain & Migraine

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Hattiesburg, MS
  • NPI 1689270142
  Medicare reassignment NPD
• Ms Pain & Migraine

  • Pain Medicine Physician
  • Southaven, MS
  • NPI 1346098035
  NPD
• Mississippi PHS PC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1326278615
  NPD (past)
• Peak Healthcare

  • Family Nurse Practitioner
  • Summit, MS
  • NPI 1881845444
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1609187152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 YELLOW PINE DR",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394659558",
            "telephone_number": "601-270-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RAWLS SPRINGS LOOP RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027801",
            "telephone_number": "601-582-6069",
            "fax_number": "601-579-4842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Lakeside Ave Ste A119",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981226551",
            "country_code": "US",
            "telephone_number": "601-270-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "MSN, GNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MS",
            "license": "R790914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01671306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa W Holland, MD
• Ranita Holland
• Brian Carl Hollimon, FNP-BC
• Elizabeth Virginia Hollings, PMHNP
• Paula Hollingsworth
• Jasmin S Holloway
• Dana Michelle Holmes, FNP-C
• Karen Holmes, LPN
• Katelin Holmes, LSW
• Tanisha Holmes

• Geriatric Medicine (Family Medicine) Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Geriatric Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.