Active NPI
William Dewayne Holmes, M.D.
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1639348246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H4418
- Practice address
- 12515 Research Blvd
BLDG 8, Suite 400
Austin, TX 78759-2228 - Phone
- (210) 241-2691
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H4418 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | H4418 | TX |
Addresses
Primary practice location
12515 Research Blvd
BLDG 8, Suite 400
Austin, TX 78759-2228
Mailing address
12515 Research Blvd
BLDG 8, Suite 400
Austin, TX 78759-2228
Phone (210) 241-2691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5210 Rollingdale CT
Lakeland, FL 33810-2600
Phone (888) 225-6860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acl Senior Advocates and Care Coordination | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Lakeland, FL
- NPI 1205571486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1639348246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12515 RESEARCH BLVD",
"address_2": "BLDG 8, SUITE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592228",
"telephone_number": "210-241-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12515 RESEARCH BLVD",
"address_2": "BLDG 8, SUITE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592228",
"telephone_number": "210-241-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "WILLIAM",
"middle_name": "DEWAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H4418",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "H4418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.