Mark Elliott Hollingsworth, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

201628 Issued in NC

Practice address

4141 Shipyard Blvd
Wilmington, NC 28403-6156

Phone

(910) 792-9925

Fax

(910) 792-9926

NPI assigned

Sep 5, 2007

Sex

Male

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 NC

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goshen Medical Center IncorporatedGroup PAC ID 3173434479, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhollingsworth@goshenmedical.cloudcraftdirect.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.

• Goshen Medical Center, Incorporated

  dba Goshen Medical Center - Duplin

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment Care Compare group NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, NC
  • NPI 1669797700
  NPD (past)
• Goshen Medical Center Incorporated

  dba Goshen Medical Center - Mount Olive Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Mount Olive, NC
  • NPI 1700901287
  NPD (past)

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

• Onslow Memorial Hospital Inc

  dba Onslow Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1871787549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036156",
            "telephone_number": "910-792-9925",
            "fax_number": "910-792-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036156",
            "telephone_number": "910-792-9925",
            "fax_number": "910-792-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "MARK",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "201628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Holland, LCSW-A
• Elizabeth Rose Hollander, PA-C
• Melanie Holler
• Teresa A. Holler, P.A.
• Olive Pope Hollinger, LPA
• Bailey Holman, OTR/L
• Cameron K Holman, PA
• Brittanie A Holmes-Smith, LCSW
• Allen J Holmes, MD
• Charles Lindley Holmes Jr., OT

• Primary Care Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.