Active NPI
Candice Holliday
- Obstetrics & Gynecology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD.37687
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.USA Health Physician Billing Services LLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.37687 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Franklin Primary Health Center Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Bayou la Batre Area Health Development Board, Inc. | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Bayou la Batre Area Health Development Board, Inc. | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Current | 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
- cholliday573387@direct.ochin.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
AL, Obstetrics & Gynecology
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
AL, Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Irvington, AL
- NPI 1396794426
AL
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1154551703
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1427221993
-
- Federally Qualified Health Center (FQHC)
- Foley, AL
- NPI 1932416195
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1952885600
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1225006679
-
- Federally Qualified Health Center (FQHC)
- Brewton, AL
- NPI 1316497027
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1487988499
-
- Optometrist
- Mobile, AL
- NPI 1497724256
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.