NPIMap

Individual provider Active NPI

Carter Graham Holland, PA-C

  • Physician Assistant
  • Hattiesburg, MS
National Provider Identifier
1649735135
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00414 Issued in MS
Practice address
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Phone
(601) 554-7400
NPI assigned
Feb 8, 2019
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00414 MS Primary

Addresses

Primary practice location

3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246

Mailing address

81 W Cadbury LN
Hattiesburg, MS 39402-5528
Phone (601) 606-0493

Other identifiers 1

IdentifierTypeStateIssuer
06388035MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carter.holland.p1@direct.southernboneandjoint.nextgenshare.com Health Information Exchange (HIE) SOUTHERN BONE & JOINT SPECIALISTS, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424000527 MS Practitioner - Physician Assistant 7517209588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 Hwy 98 Byp
Columbia, MS 39429-3702
Phone (601) 554-7400

3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00414MSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Bone & Joint Specialists CurrentSince Mar 28, 2022 Accepting new patients

Locations

1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070

3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451

Interoperability endpoints

  • Direct secure messaging: carter.holland.p1@direct.southernboneandjoint.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1649735135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 W CADBURY LN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394025528",
            "telephone_number": "601-606-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 VETERANS MEMORIAL DR STE 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018246",
            "telephone_number": "601-554-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CARTER",
        "middle_name": "GRAHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06388035",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carter.holland.p1@direct.southernboneandjoint.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "SOUTHERN BONE & JOINT SPECIALISTS, PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3688 Veterans Memorial Dr Ste 200",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394018246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.