Individual provider Active NPI

Johnstone Powe Hollis, MD

  • Family Medicine Physician
  • Centreville, AL
National Provider Identifier
1619986924
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00010436 Issued in AL
Practice address
208 Pierson Avenue
Centreville, AL 35042
Phone
(205) 926-4881
Fax
(205) 926-5866
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00010436 AL
Family Medicine Physician 207Q00000X 00010436 AL Primary

Addresses

Primary practice location

208 Pierson Avenue
Centreville, AL 35042

Mailing address

208 Pierson Avenue
Centreville, AL 35042
Phone (205) 926-4881

Other identifiers 3

IdentifierTypeStateIssuer
51076186OtherALBLUE CROSS
559700120MedicaidAL
543424002MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20050131000160 AL Practitioner - Internal Medicine 9234189978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bibb County Healthcare AuthorityGroup PAC ID 7113822883, 16 clinicians

Practice addresses (Care Compare)

208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-4694

437 Belcher St
Centreville, AL 35042-2946

Hospital & facility affiliations

  • Bibb Medical Center Hospital, Centreville, AL, CCN 010058
  • Bibb Medical Center Nursing home, CCN 01U058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10436ALMDPharmacotherapy Pharmacist
00010436ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Bibb County Healthcare Authority CurrentSince Jan 1, 2012 Accepting new patients
The Bibb County Health Care Authority CurrentSince Jan 1, 2012 Accepting new patients
Ivy Creek of Butler, LLC Emergency Medicine PastSince Nov 19, 2012 Accepting new patients
The Health Care Authority of the City of Greenville Family Medicine PastSince Nov 19, 2012 Accepting new patients
Butler - Ivy Creek Home Health, LLC PastSince Nov 19, 2012 Accepting new patients

Locations

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

Interoperability endpoints

  • Direct secure messaging: johnstone.hollis.1@13200.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1619986924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "35042",
            "telephone_number": "205-926-4881",
            "fax_number": "205-926-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PIERSON AVENUE",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "35042",
            "telephone_number": "205-926-4881",
            "fax_number": "205-926-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JOHNSTONE",
        "middle_name": "POWE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00010436",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00010436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51076186",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559700120",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543424002",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.