Individual provider Active NPI

Benjamin H Holland, MD

  • Interventional Cardiology Physician
  • Athens, GA
National Provider Identifier
1871715482
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
67710 Issued in GA
Practice address
1199 Prince Ave
MSB 2ND Floor
Athens, GA 30606-2797
Phone
(706) 475-1700
Fax
(706) 457-1790
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67710 GA
Cardiovascular Disease Physician 207RC0000X 67710 GA
Interventional Cardiology Physician 207RI0011X 67710 GA Primary

Addresses

Primary practice location

1199 Prince Ave
MSB 2ND Floor
Athens, GA 30606-2797

Mailing address

1500 Oglethorpe Ave
Auite 600a
Athens, GA 30606-2179
Phone (706) 475-4933

Other identifiers 1

IdentifierTypeStateIssuer
003123963MedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000741 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476616962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Specialty Care LLCGroup PAC ID 8820349772, 116 clinicians

Practice addresses (Care Compare)

242 King Ave
Suite 210
Athens, GA 30606-2966
Phone (706) 475-1700

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • Elbert Memorial Hospital Hospital, Elberton, GA, CCN 111337
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67710GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jul 6, 2022 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Piedmont Athens Specialty Care LLC Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
Kimberly Walpert, M.D., LLC Past Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Internal Medicine Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

1199 Prince Ave
Fl 2
Athens, GA 30606
Phone (706) 475-1870

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

340 Exchange Blvd
Ste 110
Bethlehem, GA 30620
Phone (770) 532-9023

340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

209 Mercer Pl
Commerce, GA 30529
Phone (706) 583-9000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

33 Chestnut St
Elberton, GA 30635
Phone (706) 213-2580

1010 Park Dr
Greensboro, GA 30642
Phone (706) 227-7850

1077 S Main St
Madison, GA 30650
Phone (706) 342-0449

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1305 Jennings Mill Rd
Ste 250
Watkinsville, GA 30677

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1871715482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "AUITE 600A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-475-4933",
            "fax_number": "706-208-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "address_2": "MSB 2ND FLOOR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-475-1700",
            "fax_number": "706-457-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "67710",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "67710",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "67710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123963",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.