Individual provider Active NPI

Samuel S Holladay, M.D.

  • Family Medicine Physician
  • Springhill, LA
National Provider Identifier
1891769410
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7972 Issued in LA
Practice address
401 11TH St NE
Springhill, LA 71075-4503
Phone
(318) 539-1700
Fax
(318) 539-5688
NPI assigned
Feb 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7972 LA Primary

Addresses

Primary practice location

401 11TH St NE
Springhill, LA 71075-4503

Mailing address

401 11TH St NE
Springhill, LA 71075-4503
Phone (318) 539-1700

Other identifiers 1

IdentifierTypeStateIssuer
1026760MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110001596 LA Order and Referring Only - Family PracticePractitioner - Family Practice 6507816857

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7972LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C & M Medical Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891769410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 11TH ST NE",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754503",
            "telephone_number": "318-539-1700",
            "fax_number": "318-539-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 11TH ST NE",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754503",
            "telephone_number": "318-539-1700",
            "fax_number": "318-539-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "7972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026760",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springhill, LA

Sources for this page

Verify at the official NPI Registry.