Individual provider Active NPI

Aubrey Rickard Holladay, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1629793872
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26682 Issued in SC
Practice address
3180 Broad St
Sumter, SC 29150-1811
Phone
(803) 971-4210
NPI assigned
Oct 10, 2022
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26682 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26682 SC Primary

Addresses

Primary practice location

3180 Broad St
Sumter, SC 29150-1811

Mailing address

2565 Carriage Dr
Sumter, SC 29154-7150
Phone (803) 468-0712

Other names 1

  • Miss Aubrey Elizabeth Rickard Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20221215001716 SC Practitioner - Nurse Practitioner 3870962731 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26682SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 12, 2025 Accepting new patients
CH Specialty Services SC LLC Nurse Practitioner CurrentSince Jun 13, 2023 Accepting new patients
Curana Health of South Carolina PC CurrentSince May 31, 2023 Accepting new patients
Sumter Behavioral Health LLC CurrentSince Nov 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 7, 2022 Accepting new patients
Musc Community Physicians Current Accepting new patients
Sumter Behavioral Health LLC CurrentSince Nov 10, 2024 Accepting new patients
Musc Community Physicians CurrentSince Aug 12, 2025 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

3180 Broad St
Sumter, SC 29150
Phone (803) 971-4210

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: aholladay542216@direct.musc.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1629793872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 CARRIAGE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547150",
            "telephone_number": "803-468-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501811",
            "telephone_number": "803-971-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "AUBREY",
        "middle_name": "RICKARD",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26682",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "26682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "RICKARD",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.