Holly Marie White, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904011 Issued in MS

Practice address

1220 Jefferson St
Laurel, MS 39440-4355

Phone

(601) 426-4000

NPI assigned

Aug 6, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Holly M Faieta Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greene County Family Medical ClinicGroup PAC ID 5991867954, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greene County Hospital Hospital, Leakesville, MS, CCN 250782

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hollywhite@grh.medalliesdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

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.

• Greene County Family Medical Clinic

  • Rural Health Clinic/Center
  • Leakesville, MS
  • NPI 1689821126
  Medicare reassignment Care Compare group NPD
• Community Medical Center

  • Rural Health Clinic/Center
  • Lucedale, MS
  • NPI 1194734913
  Medicare reassignment NPD
• George Regional ER Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lucedale, MS
  • NPI 1043690936
  Medicare reassignment NPD
• Relias Clinical Decision Specialists of Hattiesburg, LLC

  • Emergency Medicine Physician
  • Hattiesburg, MS
  • NPI 1336867415
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Hattiesburg LLC

  • Emergency Medicine Physician
  • Hattiesburg, MS
  • NPI 1609409440
  Medicare reassignment NPD
• RH Emergency Medicine of Highland Community LLC

  • Emergency Medicine Physician
  • Picayune, MS
  • NPI 1033987946
  Medicare reassignment NPD
• RH Emergency Medicine of Jefferson Davis LLC

  • Emergency Medicine Physician
  • Prentiss, MS
  • NPI 1356103527
  Medicare reassignment NPD
• RH Emergency Medicine of Marion General LLC

  • Emergency Medicine Physician
  • Columbia, MS
  • NPI 1841064110
  Medicare reassignment NPD
• RH Emergency Medicine of Pearl River LLC

  • Emergency Medicine Physician
  • Poplarville, MS
  • NPI 1265206544
  Medicare reassignment NPD
• RH Emergency Medicine of Perry County LLC

  • Emergency Medicine Physician
  • Richton, MS
  • NPI 1740058650
  Medicare reassignment NPD
• RH Emergency Medicine of Walthall General LLC

  • Emergency Medicine Physician
  • Tylertown, MS
  • NPI 1336901511
  Medicare reassignment NPD
• RH Hospitalist Medicine of Highland Community LLC

  • Hospitalist Physician
  • Picayune, MS
  • NPI 1841068756
  Medicare reassignment NPD

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

• George County Hospital

  dba Greene County Hospital

  • Critical Access Hospital
  • Leakesville, MS
  • NPI 1275796856
  Care Compare affiliation

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1730799578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ROBERT E LEE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394019331",
            "telephone_number": "601-307-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404355",
            "telephone_number": "601-426-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "904011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FAIETA",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua L Wheaton, B.S.
• Michelle Angelique Wheeler, MD
• Akella White
• Amanda Sumer White, P-LPC
• Emily White, PHARMD
• Valarie White
• Thomas Whitton, M.D.
• Derek Alexander Wierzbicki, M.D.
• Callissa G Wilkerson, NP-C
• Williams Family Dentistry

• Family Nurse Practitioner in Laurel, MS
• Providers in Laurel, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.