Individual provider Active NPI

Holly R Sperry

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1750050225
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14111 Issued in GA
Practice address
300 University Blvd BLDG a
Round Rock, TX 78665-1032
Phone
(512) 509-0200
Fax
(512) 509-2229
NPI assigned
Sep 8, 2021
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006953 CO
Physician Assistant 363A00000X 14111 GA Primary
Physician Assistant 363A00000X PA18040 TX

Addresses

Primary practice location

300 University Blvd BLDG a
Round Rock, TX 78665-1032

Mailing address

590 Lanier Ave W
Fayetteville, GA 30214-1504
Phone (678) 688-9685

Other practice location 1

131 Fischer Crossings Dr
Sharpsburg, GA 30277-3660
Phone (678) 590-5177

Other practice location 2

3010 N Circle Dr Ste 100
Colorado Springs, CO 80909-1174
Phone (719) 776-7846

Other identifiers 1

IdentifierTypeStateIssuer
9000197583MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hsperry1338907@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20260618002705 GA Practitioner - Physician Assistant 8123419447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

590 Lanier Ave W
Fayetteville, GA 30214-1504

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006953COMDPhysician Assistant
PA18040TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Jun 1, 2026 Accepting new patients
Scott & White Clinic CurrentSince Jul 9, 2024 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

131 Fischer Crossings Dr
Sharpsburg, GA 30277
Phone (678) 590-5177

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

300 University Blvd
Bldg A
Round Rock, TX 78665
Phone (512) 509-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 3

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 3

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1750050225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 LANIER AVE W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141504",
            "telephone_number": "678-688-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD BLDG A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0200",
            "fax_number": "512-509-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Fischer Crossings Dr",
            "address_purpose": "LOCATION",
            "city": "Sharpsburg",
            "state": "GA",
            "postal_code": "302773660",
            "country_code": "US",
            "telephone_number": "678-590-5177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 N Circle Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091174",
            "country_code": "US",
            "telephone_number": "719-776-7846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "HOLLY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "14111",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000197583",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsperry1338907@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 University Blvd Bldg A",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.