Individual provider Active NPI

Maridith Hollis, MD

  • Psychiatry Physician
  • Daphne, AL
National Provider Identifier
1730612086
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
37689 Issued in AL
Practice address
7400 Roper LN
Daphne, AL 36526-5274
Phone
(251) 378-6500
Fax
(251) 378-6563
NPI assigned
Apr 4, 2017
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-48842 IA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 37689 AL Primary

Addresses

Primary practice location

7400 Roper LN
Daphne, AL 36526-5274

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200422003076 AL Practitioner - Psychiatry 9234484213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

7400 Roper LN
Daphne, AL 36526-5274
Phone (251) 378-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37689ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. Current Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500

1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

Organizations & group practices 2

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1730612086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 ROPER LN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265274",
            "telephone_number": "251-378-6500",
            "fax_number": "251-378-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "MARIDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-48842",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "37689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.