Ann Hamilton Hollis, RN, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

23488 Issued in SC

Practice address

811 W Main St Ste 204
Lexington, SC 29072-2500

Phone

(803) 359-8855

Fax

(803) 359-1257

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Lexington Health Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753
  Medicare reassignment NPD
• Lexington Health Inc

  • Pediatric Adolescent Medicine Physician
  • Lexington, SC
  • NPI 1619574969
  NPD
• Lexington Health Inc

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1639546245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-359-8855",
            "fax_number": "803-359-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST STE 204",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722500",
            "telephone_number": "803-359-8855",
            "fax_number": "803-359-1257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 S Lake Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290736889",
            "country_code": "US",
            "telephone_number": "803-520-9370",
            "fax_number": "803-520-9371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 San Juan Ave",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "CA",
            "postal_code": "932211312",
            "country_code": "US",
            "telephone_number": "559-592-7371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "ANN HAMILTON",
        "name_prefix": "Mrs.",
        "credential": "RN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-04-19",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "816893",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95002846",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "23488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahollis105860@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "811 W Main St Ste 204",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Mary Hogg, FNP-BC
• Sarah Holbrooks
• McKenzie Holden, MS, CF-SLP
• Sara Holden, DDS
• Felecia B. Holley, MA
• Crystal Em Holloway, CCC-SLP
• Jessica Holt
• Homecare Solutions Unlimited
• Emily Diane Homer-Conrad, PHARMD
• Megan Honeycutt

• Pediatric Nurse Practitioner in Lexington, SC
• Providers in Lexington, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.