Jordan Eaves Holmes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17647 Issued in NC

Practice address

1501 N Bickett Blvd Ste F
Louisburg, NC 27549-2178

Phone

(919) 497-8414

NPI assigned

Dec 28, 2017

Last updated

Jan 14, 2019By the provider in NPPES

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

Other names 1

• Andrea Holmes Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Specialists of North Carolina, P.a.Group PAC ID 7810974375, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.06 of 100Reported as group

Quality

61.01

Promoting interoperability

100

Improvement activities

40

Cost

82.52

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.holmes.1@12529.direct.athenahealth.com

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.

• Orthopaedic Specialists of North Carolina, P.a.

  dba OrthoNC

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1649327750

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthopaedic Specialists of North Carolina, P.a.

  dba OrthoNC

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1447553870
  NPD

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1922514983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "919-497-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD STE F",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-497-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JORDAN",
        "middle_name": "EAVES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HOLMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Hicks
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• Holly Hill Hospital LLC
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• Michelle Callahan Hughes, MA, LPA, HSP-A

• Physical Therapist in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.