Individual provider Active NPI

Candice Holliday

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1912439233
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.37687 Issued in AL
Practice address
1601 Center St
Mobile, AL 36604-1541
Phone
(251) 415-1496
Fax
(251) 415-1450
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X MD.37687 AL Primary

Addresses

Primary practice location

1601 Center St
Mobile, AL 36604-1541

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813001928 AL Practitioner - Obstetrics/Gynecology 6204100381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Primary Health Center, Inc. 50 clinicians
USA Health Physician Billing Services LLC 342 clinicians

Practice addresses (Care Compare)

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5398

1361 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-7189

1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

  • USA Health Children'S & Women'S Hospital Hospital, Mobile, AL, CCN 013301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.37687ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc Obstetrics & Gynecology CurrentSince Sep 1, 2021 Accepting new patients
Franklin Primary Health Center Inc. Obstetrics & Gynecology Current Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Franklin Primary Health Center, Inc Obstetrics & Gynecology CurrentSince Sep 1, 2021 Accepting new patients
Bayou la Batre Area Health Development Board, Inc. CurrentSince Sep 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Aug 1, 2021 Accepting new patients
University of South Alabama Past Accepting new patients

Locations

12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

1700 Center St
#100
Mobile, AL 36604
Phone (251) 415-8602

Interoperability endpoints

  • Direct secure messaging: cholliday573387@direct.ochin.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEDDD

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1912439233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CENTER ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041541",
            "telephone_number": "251-415-1496",
            "fax_number": "251-415-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.37687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.