NPIMap

Individual provider Active NPI

John S Holston, MD

  • Internal Medicine Physician
  • Searcy, AR
National Provider Identifier
1881658623
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C5063 Issued in AR
Practice address
2900 Hawkins Dr
Searcy, AR 72143-4802
Phone
(501) 278-2800
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C5063 AR Primary

Addresses

Primary practice location

2900 Hawkins Dr
Searcy, AR 72143-4802

Mailing address

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

Other identifiers 1

IdentifierTypeStateIssuer
101236001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100204000700 AR Practitioner - Internal Medicine 9335282961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 1976
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, shared by 9 NPIs, 182 clinicians

Practice addresses (Care Compare)

2505 W Beebe Expressway
Suite 101
Searcy, AR 72143-4802
Phone (501) 278-2800

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

2908 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 203-0055

3214 E Race Ave
Searcy, AR 72143-4810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5063ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Nov 1, 2011 Accepting new patients
White County Medical Center CurrentSince Nov 1, 2011 Accepting new patients
White County Medical Center CurrentSince Dec 1, 2012 Accepting new patients
White County Medical Center Current Accepting new patients

Locations

711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1881658623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-278-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-278-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTON",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C5063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101236001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.