Alison L Holder, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R654426 Issued in MS

Practice address

27 S Sixth St
Bay Springs, MS 39422-9052

Phone

(601) 764-2155

Fax

(601) 764-2150

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Jasper General Hospital

  • Family Medicine Physician
  • Bay Springs, MS
  • NPI 1770660920
  Medicare reassignment NPD
• Jasper General Hospital

  • Rural Health Clinic/Center
  • Bay Springs, MS
  • NPI 1245870823

  Family Medicine

  NPD
• Eure-Lay Clinic

  • Family Medicine Physician
  • Bay Springs, MS
  • NPI 1063514008
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1700977675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394220549",
            "telephone_number": "601-764-2143",
            "fax_number": "601-764-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S SIXTH ST",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394229052",
            "telephone_number": "601-764-2155",
            "fax_number": "601-764-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Highway 18",
            "address_purpose": "LOCATION",
            "city": "Bay Springs",
            "state": "MS",
            "postal_code": "394220549",
            "country_code": "US",
            "telephone_number": "601-764-2143 x18",
            "fax_number": "601-764-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "ALISON",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "R654426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114684",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Happy Home Care LLC
• Hattiesburg Clinic, PA
• Hearts and Hands of Care LLC
• Ron Herrington, RPH
• Camellia K Hightower, PT
• In Motion Therapy, Inc.
• Jasper County Nursing Home
• Jasper General Hospital
• Jasper General Hospital
• Jasper General Hospital

• Family Medicine Physician in Bay Springs, MS
• Providers in Bay Springs, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.