Active NPI
Benjamin H Holland, MD
- Interventional Cardiology Physician
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 67710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003123963 | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Mercer University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Elbert Memorial Hospital
- St Mary'S Hospital
- Ty Cobb Regional Medical Center, LLC
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 37 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67710 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Athens Regional Medical Center, Inc. | Current | Accepting new patients | |
| Piedmont Athens Regional Medical Center, Inc. | Current | Accepting new patients | |
| Piedmont Athens Specialty Care LLC | Cardiovascular Disease | Current | 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.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Home Infusion Agency
- Athens, GA
- NPI 1003801184
-
- Neurological Surgery Physician
- Athens, GA
- NPI 1326419649
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Hospitalist Physician
- North Wilkesboro, NC
- NPI 1093737082
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Elberton, GA
- NPI 1669488250
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
-
- Rural Acute Care Hospital
- Lavonia, GA
- NPI 1518354778
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.