NPIMap

Individual provider Active NPI

John Hollister, MD

  • Family Medicine Physician
  • Starkville, MS
National Provider Identifier
1689617185
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9135 Issued in MS
Practice address
103 Doctors Park
Starkville, MS 39759-2174
Phone
(662) 323-2515
Fax
(662) 323-2557
NPI assigned
Jun 13, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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 9135 MS Primary

Addresses

Primary practice location

103 Doctors Park
Starkville, MS 39759-2174

Mailing address

103 Doctors Park
Starkville, MS 39759-2174
Phone (662) 323-2515

Other identifiers 3

IdentifierTypeStateIssuer
562251777OtherMSBLUE CROSS
009979570OtherMSALABAMA MEDICAID
00010599MedicaidMS

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
I20041203000417 MS Practitioner - Family PracticePractitioner - Emergency Medicine 2860458692 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Mississippi School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kermit D Laird MD PAGroup PAC ID 5294829677, 4 clinicians
WMC Emergency Services LLCGroup PAC ID 5698102465, 13 clinicians

Practice addresses (Care Compare)

103 Doctors Park
Starkville, MS 39759-2174
Phone (662) 323-2515

17550 E Main St
Louisville, MS 39339-2772
Phone (662) 446-1072

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.82 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
76.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9135MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Emergency Services LLC CurrentSince Dec 15, 2019 Accepting new patients
Kermit D Laird MD PA Family Medicine CurrentSince Oct 25, 1988 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 16, 2018 Accepting new patients
Columbus Emergency Services, LLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of Mississippi, Inc Emergency Medicine Past Accepting new patients

Locations

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

103 Doctors Park
Starkville, MS 39759
Phone (601) 323-2515

Interoperability endpoints

  • Direct secure messaging: john.hollister.1@15070.direct.athenahealth.com
  • Direct secure messaging: john.hollister.1@32574.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1689617185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592174",
            "telephone_number": "662-323-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592174",
            "telephone_number": "662-323-2515",
            "fax_number": "662-323-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "9135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "562251777",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAID",
            "identifier": "009979570",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010599",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.