Onsite House Call Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ONSITE HOUSE CALL CLINIC

Practice address

40114 Grubb Springs Rd
Hamilton, MS 39746-9616

Phone

(662) 356-1511

Fax

(662) 356-1711

NPI assigned

Jan 18, 2023

Last updated

Feb 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Leigh Holloway, NPNPI 1932855244

Title

Director

Phone

(662) 801-2826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Leigh Holloway, FNP-C

  • Family Nurse Practitioner
  • Pontotoc, MS
  • NPI 1932855244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675555200000",
    "number": "1922713544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40114 GRUBB SPRINGS RD",
            "city": "HAMILTON",
            "state": "MS",
            "postal_code": "397469616",
            "telephone_number": "662-356-1511",
            "fax_number": "662-356-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40114 GRUBB SPRINGS RD",
            "city": "HAMILTON",
            "state": "MS",
            "postal_code": "397469616",
            "telephone_number": "662-356-1511",
            "fax_number": "662-356-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE HOUSE CALL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-801-2826",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Chase Howell, MD
• Lifebrite Hospital Group of Aberdeen LLC
• Martin Swoope Enterprises (Hometown Pharmacy)
• Mary Emily Nethery
• North Mississippi Gilmore Clinics, LLC (Hamilton Medical Clinic)
• Pioneer Family Pharmacy
• Pioneer Health Services of Monroe County, Inc. (Pioneer Family Medicine of Hamilton)
• Shonderria L Roberts
• Cheryl Whitaker
• James S. Woodard, M.D.

• Primary Care Nurse Practitioner in Hamilton, MS
• Providers in Hamilton, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; 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.