Candace Bell Holloway, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904375 Issued in MS

Practice address

1435 Grand Ave
Yazoo City, MS 39194-2651

Phone

(662) 746-3555

NPI assigned

Apr 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Madison Hospital, Canton, MS, CCN 250038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.holloway.p1@direct.gacfhc.nextgenshare.com
• Direct secure messaging: candace.holloway.p1@direct.magnoliamedical.nextgenshare.com

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.

• G a Carmichael Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Canton, MS
  • NPI 1801952809
  Medicare reassignment Care Compare group NPD
• G a Carmichael Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Greenwood, MS
  • NPI 1932095718
  NPD
• G a Carmichael Family Health Center. Inc.

  • Federally Qualified Health Center (FQHC)
  • Yazoo City, MS
  • NPI 1548327463
  NPD (past)

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

• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Canton, MS
  • NPI 1194770404
  Care Compare affiliation

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1801479720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942651",
            "telephone_number": "662-746-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CANDACE",
        "middle_name": "BELL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Bufkin Heidel, RPH
• Elizabeth Helton
• Xiaoming Hester, FNP-C
• Benton E Hewitt Jr.
• Ayanna Hill
• Home Health Care Services, Inc.
• Home Health Care Support Services, Inc.
• Horizon Behavioral and Support Services, LLC
• Hospitalmd of Yazoo City Inc.
• Briyanna Dene Hubbard

• Family Nurse Practitioner in Yazoo City, MS
• Providers in Yazoo City, 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 Mar 15, 2022; 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.