Active NPI
Jodie Darlene Holmes, ARNP
- Dermatology Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 26431
- Practice address
- 7658 Poplar Pike
Advanced Dermatology
Germantown, TN 38138-3813 - Phone
- (901) 759-2322
- Fax
- (563) 578-3322
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | A116063 | IA | |
| Dermatology Physician | 207N00000X | 26431 | TN | Primary |
Addresses
Primary practice location
7658 Poplar Pike
Advanced Dermatology
Germantown, TN 38138-3813
Mailing address
5352 Ambassador LN W
Apt 203
Arlington, TN 38002-4953
Phone (319) 327-7188
Other practice location 1
5349 Airline Rd
Arlington, TN 38002-4266
Phone (901) 759-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7658 Poplar Pike
Germantown, TN 38138-5941
Phone (901) 322-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26431 | TN | MD | Pharmacist |
| A116063 | IA | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wootton Clinic and Medical Center, P.C. | Current | Accepting new patients | |
| Advanced Dermatology and Skin Cancer Associates, PLLC | Current | Accepting new patients | |
| Semmes-Murphey Clinic PC | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
7203 Goodman Rd
Olive Branch, MS 38654
Phone (901) 759-2322
1650 Bonnie Ln
Ste 102
Cordova, TN 38016
Phone (901) 756-2424
7730 Wolf River Blvd
Ste 112
Germantown, TN 38138
Phone (901) 755-9211
7658 Poplar Pike
Memphis, TN 38138
Phone (901) 322-2322
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1265604888
-
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- NPI 1184812117
-
- Neurological Surgery Physician
- Memphis, TN
- NPI 1477571891
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1770036337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5352 AMBASSADOR LN W",
"address_2": "APT 203",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "380024953",
"telephone_number": "319-327-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7658 POPLAR PIKE",
"address_2": "ADVANCED DERMATOLOGY",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383813",
"telephone_number": "901-759-2322",
"fax_number": "563-578-3322"
}
],
"practiceLocations": [
{
"address_1": "5349 Airline Rd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TN",
"postal_code": "380024266",
"country_code": "US",
"telephone_number": "901-759-2322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "JODIE",
"middle_name": "DARLENE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "IA",
"license": "A116063",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "26431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.