Individual provider Active NPI

Holly Gluth Pursley, MD

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1922055763
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00025740 Issued in AL
Practice address
188 Hospital Dr
Suite 402
Fairhope, AL 36532
Phone
(251) 990-1740
Fax
(251) 990-1741
NPI assigned
May 27, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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 00025740 AL Primary

Addresses

Primary practice location

188 Hospital Dr
Suite 402
Fairhope, AL 36532

Mailing address

188 Hospital Dr
Suite 402
Fairhope, AL 36532
Phone (251) 990-1740

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
I20050419000225 AL Practitioner - Internal Medicine 5890733141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians

Practice addresses (Care Compare)

8367 Morphy Ave
Suite a
Fairhope, AL 36532-3653
Phone (251) 279-1245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025740ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Internal Medicine CurrentSince Jan 29, 2022 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jan 29, 2022 Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients

Locations

188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245

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, 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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1922055763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR",
            "address_2": "SUITE 402",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-990-1740",
            "fax_number": "251-990-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR",
            "address_2": "SUITE 402",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-990-1740",
            "fax_number": "251-990-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSLEY",
        "first_name": "HOLLY",
        "middle_name": "GLUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00025740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.