Jennifer Y Hollingsworth, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904005 Issued in MS

Practice address

110 Bremen Way
Madison, MS 39110-6950

Phone

(601) 918-0008

NPI assigned

Aug 30, 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, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RH Mississippi Hospitalist Medicine LLCGroup PAC ID 0547791873, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• RH Mississippi Hospitalist Medicine, LLC

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1891541207

  MS

  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family, MS

  Medicare reassignment NPD
• Relias Clinical Decision Specialists of Hattiesburg, LLC

  • Emergency Medicine Physician
  • Hattiesburg, MS
  • NPI 1336867415

  MS

  Medicare reassignment NPD
• RH Hospitalist Medicine of Philadelphia LLC

  • Hospitalist Physician
  • Philadelphia, MS
  • NPI 1134083561

  MS

  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Fayette, LLC

  • Emergency Medicine Physician
  • Fayette, AL
  • NPI 1093201543

  AL

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD

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

• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1891463576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BREMEN WAY",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106950",
            "telephone_number": "601-918-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BREMEN WAY",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106950",
            "telephone_number": "601-918-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "JENNIFER",
        "middle_name": "Y",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Hines, SLP
• Justin Lyle Hobbs, PT, DPT
• David Hogue Sr., LPC
• Jennifer Rani Hogue, LPC
• Tomeaca Hollimon-Saffold, FNP-C
• Holloway Psychiatric Services, Inc.
• Antoniya Holloway
• Emily Ables Holloway, FNP-C
• Emily Gretchen Holloway, REGISTERED NURSE
• Travis Jay Holtsinger

• All providers in Madison, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.