Individual provider Active NPI

Holly Weaver Hadley, M.D.

  • Family Medicine Physician
  • Juno Beach, FL
National Provider Identifier
1659338556
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0056616 Issued in FL
Practice address
13901 US Highway 1
Suite 5
Juno Beach, FL 33408-1612
Phone
(561) 630-0840
NPI assigned
Apr 26, 2006
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0056616 FL Primary

Addresses

Primary practice location

13901 US Highway 1
Suite 5
Juno Beach, FL 33408-1612

Mailing address

13901 US Highway 1 Ste 5
Juno Beach, FL 33408-1612
Phone (561) 630-0840

Other identifiers 1

IdentifierTypeStateIssuer
09634OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly-hadley@wellnessfirst.e-mdsdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000804 FL Practitioner - Family Practice 5991758815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0056616FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women First LLC Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Back to Health Rehab & Wellness, Inc. CurrentSince Aug 2, 2020 Accepting new patients
Healthy Women P.a. PastSince Sep 1, 2001 Accepting new patients
Lee a Fischer, M.D. PA PastSince Feb 9, 2006 Accepting new patients
Montesol Medical Centers LLC Family Medicine PastSince Nov 13, 2022 Accepting new patients

Locations

13901 US Highway 1
Ste 4
Juno Beach, FL 33408
Phone (561) 491-4666

13901 US Highway 1
Ste 5
Juno Beach, FL 33408
Phone (561) 626-9200

Interoperability endpoints

  • Direct secure messaging: admin@wellnessfirst.e-mdsdirect.com
  • Direct secure messaging: hhadley19971@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1659338556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1 STE 5",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-630-0840",
            "fax_number": "561-630-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 US HIGHWAY 1",
            "address_2": "SUITE 5",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081612",
            "telephone_number": "561-630-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "HOLLY",
        "middle_name": "WEAVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0056616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09634",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly-hadley@wellnessfirst.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13901 US Highway 1",
            "address_2": "SUITE 5",
            "city": "Juno Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334081612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Juno Beach, FL

Sources for this page

Verify at the official NPI Registry.