Individual provider Active NPI

Ariel E Holley, MD

  • Obstetrics Physician
  • Raleigh, NC
National Provider Identifier
1679777247
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
2019-01647 Issued in NC
Practice address
4414 Lake Boone TRL Ste 300
Raleigh, NC 27607-7514
Phone
(919) 781-5510
Fax
(919) 781-5053
NPI assigned
Jun 14, 2007
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N4475 TX
Obstetrics & Gynecology Physician 207V00000X BP1-0026565 TX
Obstetrics Physician 207VX0000X 2019-01647 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL Ste 300
Raleigh, NC 27607-7514

Mailing address

PO Box 12860
Belfast, ME 04915-4019
Phone (199) 781-5510

Other practice location 1

1401 Medical Pkwy, Bldg B #220
Cedar Park, TX 78613-7464
Phone (512) 260-1581

Other identifiers 3

IdentifierTypeStateIssuer
215669702MedicaidTX
3858222616OtherMYUTMB 3858222616-COMMERCIAL NUMBER
215669701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190823002475 NC Practitioner - Obstetrics/Gynecology 2365634540 Reassigns benefits to 1 organization
I20240503003505 UT Practitioner - Obstetrics/Gynecology 2365634540 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0026565TXMDObstetrics & Gynecology Physician
2019-01647NCMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jul 29, 2019 Accepting new patients
St Marks Hospitalist Program, LLC Obstetrics & Gynecology CurrentSince Jan 26, 2025 Accepting new patients
Maternal Fetal Services of Utah LLC Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

Interoperability endpoints

  • Direct secure messaging: aholley@yourcarecommunity.org
  • Direct secure messaging: aholley560739@direct.unc.nchie.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1679777247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12860",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154019",
            "telephone_number": "199-781-5510",
            "fax_number": "919-781-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514",
            "telephone_number": "919-781-5510",
            "fax_number": "919-781-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Medical Pkwy, Bldg B #220",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137464",
            "country_code": "US",
            "telephone_number": "512-260-1581",
            "fax_number": "512-528-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "ARIEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N4475",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP1-0026565",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "2019-01647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215669702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3858222616-COMMERCIAL NUMBER",
            "identifier": "3858222616",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215669701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.