Holly Alisha Carraway Warren, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

149963 Issued in NC

Practice address

1106 Kingold Blvd
Snow Hill, NC 28580-1619

Phone

(252) 747-2921

NPI assigned

Jun 2, 2008

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

Other names 1

• Miss Holly Alisha Carraway Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Greene County Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Snow Hill, NC
  • NPI 1891798054
  Medicare reassignment NPD
• Lenoir County Health Department

  • State or Local Public Health Clinic/Center
  • Kinston, NC
  • NPI 1679600969
  Medicare reassignment
• Greene County Health Care Incorporated Dba Contentnea Health

  • Federally Qualified Health Center (FQHC)
  • Greenville, NC
  • NPI 1760220123
  NPD

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1629236013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801332",
            "telephone_number": "252-747-8162",
            "fax_number": "252-747-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 KINGOLD BLVD",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801619",
            "telephone_number": "252-747-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "HOLLY",
        "middle_name": "ALISHA CARRAWAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "149963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "CARRAWAY",
            "middle_name": "ALISHA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• TJS Home Care Services Inc
• TJS Home Care Services Inc
• Total Renal Care of North Carolina LLC
• Wal-Mart Stores East LP
• Walgreen Co
• Georgia Finch Westbrook, PT
• Ayanna Whitfield
• Whitley Bartholomew, DDS, PLLC
• Wilson County Residential Services

• Internal Medicine Physician in Snow Hill, NC
• Providers in Snow Hill, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.