Active NPI
Cynthia J Holifield VI
- Durable Medical Equipment & Medical Supplies
- Demopolis, AL
National Provider Identifier
1700988102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 627
- Practice address
- 915 Hwy 80 East
Demopolis, AL 36732 - Phone
- (334) 289-2242
- Fax
- (334) 289-2241
- NPI assigned
- Sep 5, 2006
- Last updated
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 627 | AL | Primary |
Addresses
Primary practice location
915 Hwy 80 East
Demopolis, AL 36732
Mailing address
915 Hwy 80 East
Demopolis, AL 36732
Phone (334) 289-2242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-41261 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 627 | AL | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia J Holifield | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba T H Medical Services
- Durable Medical Equipment & Medical Supplies
- Demopolis, AL
- NPI 1699956904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1700988102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 HWY 80 EAST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "36732",
"telephone_number": "334-289-2242",
"fax_number": "334-289-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HWY 80 EAST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "36732",
"telephone_number": "334-289-2242",
"fax_number": "334-289-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIFIELD",
"first_name": "CYNTHIA",
"middle_name": "J",
"name_suffix": "VI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-41261",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demopolis, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.