Active NPI
Michael Holloway, PA-C
- Psychiatry Physician
- Ennis, TX
National Provider Identifier
1750807194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PA16759
- Practice address
- 306 Log Cabin Rd
Ennis, TX 75119-8809 - Phone
- (972) 544-6224
- NPI assigned
- Aug 17, 2017
- Last updated
- Nov 14, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PA16759 | TX | Primary |
Addresses
Primary practice location
306 Log Cabin Rd
Ennis, TX 75119-8809
Mailing address
1117 Lakeview Dr
Mesquite, TX 75149-5813
Phone (270) 883-1583
Other practice location 1
530 Hight Rd
Waxahachie, TX 75167-8945
Phone (469) 773-6345
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16759 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terry M. Hagan MD | Psychiatry | Past | Accepting new patients |
| Discovery Point Retreat | Past | Accepting new patients | |
| Hagan Health LLC | Psychiatry | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Waxahachie, TX
- NPI 1699209916
-
- Psychiatry Physician
- Louisville, KY
- NPI 1891349833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1750807194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 LAKEVIEW DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495813",
"telephone_number": "270-883-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 LOG CABIN RD",
"city": "ENNIS",
"state": "TX",
"postal_code": "751198809",
"telephone_number": "972-544-6224"
}
],
"practiceLocations": [
{
"address_1": "530 Hight Rd",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "751678945",
"country_code": "US",
"telephone_number": "469-773-6345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-17",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "PA16759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.