Individual provider Active NPI

Mary Olabisi Hollist, DO

  • Neurology Physician
  • Chapel Hill, NC
National Provider Identifier
1689087983
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2021-01692 Issued in NC
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(984) 974-1000
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2021-01692 NC Primary
Neurology Physician 2084N0400X 5101025404 MI

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

315 Medical Park Dr
Ste 202
Concord, NC 28025-1902
Phone (704) 403-1911

Other practice location 2

3200 W Centre Ave Ste 203
Portage, MI 49024-4889
Phone (269) 324-0799

Other practice location 3

10660 Park Rd
Ste 4500
Charlotte, NC 28210-8413
Phone (704) 667-8800

Other practice location 4

101 E W T Harris Blvd
Ste 5202
Charlotte, NC 28262-3485
Phone (704) 863-8700

Other practice location 5

1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone (704) 446-1900

Other practice location 6

1423 E Franklin St
Ste I
Monroe, NC 28112-5266
Phone (800) 230-1721

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address mhollist537130@CarolinasHealthcareSystem.direct-ci.com Atrium Health
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, NC, FL, TN, MO, MS7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20190827003196 VA Practitioner - Neurology 3678801875 Reassigns benefits to 1 organization
I20200416000414 MI Practitioner - Neurology 3678801875 Reassigns benefits to 2 organizations
I20210623002301 NC Practitioner - Neurology 3678801875 Reassigns benefits to 5 organizations
I20230606000029 FL Practitioner - Neurology 3678801875 Reassigns benefits to 1 organization
I20230912001202 TN Practitioner - Neurology 3678801875 Reassigns benefits to 1 organization
I20240520000615 MO Practitioner - Neurology 3678801875 Reassigns benefits to 1 organization
I20240930004082 MS Practitioner - Neurology 3678801875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
The Charlotte-Mecklenburg Hospital AuthorityGroup PAC ID 2961310685, 594 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

10660 Park Rd
Suite 4500
Charlotte, NC 28210-8553
Phone (704) 667-8800

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

175 Kimel Park Dr
Winston Salem, NC 27103-6951
Phone (336) 718-1006

1825 NW Corporate Blvd
Suite 105
Boca Raton, FL 33431-8554
Phone (561) 299-3667

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (561) 299-3667

315 Medical Park Dr
Suite 202
Concord, NC 28025-2973
Phone (704) 403-1911

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (561) 299-3667

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025404MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 7, 2021 Accepting new patients
Memorial Hospital CurrentSince May 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Memorial Hospital Neurology CurrentSince May 1, 2020 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Sep 7, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2023 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince Jun 16, 2023 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2019 Accepting new patients
Bronson Methodist Hospital Neurology CurrentSince Oct 1, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Neurology CurrentSince Sep 7, 2021 Accepting new patients
Forsyth Memorial Hospital Inc Neurology CurrentSince Aug 7, 2023 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Neurology CurrentSince Dec 1, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 7, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 7, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center CurrentSince Sep 7, 2021 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations (25 of 35)

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

1975 W M 21
Ste 103
Owosso, MI 48867

818 W King St
Ste 101
Owosso, MI 48867
Phone (989) 723-1390

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

3200 W Centre Ave
Ste 203
Portage, MI 49024
Phone (269) 324-0799

100 N 6th St
Ste 900A
Minneapolis, MN 55403

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

10660 Park Rd
Ste 4500
Charlotte, NC 28210
Phone (704) 667-8800

1010 Edgehill Rd N
Charlotte, NC 28207
Phone (704) 446-1900

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

101 E Wt Harris Blvd
Ste 5202
Charlotte, NC 28262
Phone (704) 372-5180

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

Interoperability endpoints

  • Direct secure messaging: mhollist884386@direct.novanthealth.org
  • Direct secure messaging: mhollist1158071@direct.unc.nchie.net
  • Direct secure messaging: mhollist537130@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1689087983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Medical Park Dr",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251902",
            "country_code": "US",
            "telephone_number": "704-403-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 W Centre Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490244889",
            "country_code": "US",
            "telephone_number": "269-324-0799",
            "fax_number": "269-488-8305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10660 Park Rd",
            "address_2": "Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108413",
            "country_code": "US",
            "telephone_number": "704-667-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E W T Harris Blvd",
            "address_2": "Ste 5202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623485",
            "country_code": "US",
            "telephone_number": "704-863-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Edgehill Rd N",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071885",
            "country_code": "US",
            "telephone_number": "704-446-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 E Franklin St",
            "address_2": "STE I",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125266",
            "country_code": "US",
            "telephone_number": "800-230-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIST",
        "first_name": "MARY",
        "middle_name": "OLABISI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2021-01692",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101025404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhollist537130@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "315 Medical Park Dr",
            "address_2": "Ste 202",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280251902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.