Active NPI
Michael Rodgers Holland Jr., DO
- Family Medicine Physician
- Saraland, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3262
- Practice address
- 95 Shell St
Saraland, AL 36571-2202 - Phone
- (251) 675-4733
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 83249 | SD | |
| General Practice Physician | 208D00000X | 83249 | SC | |
| Family Medicine Physician | 207Q00000X | 3262 | AL | Primary |
Addresses
Primary practice location
95 Shell St
Saraland, AL 36571-2202
Mailing address
95 Shell St
Saraland, AL 36571-2202
Phone (251) 675-4733
Other practice location 1
2000 E Greenville St Ste 3700
Anderson, SC 29621-1725
Phone (864) 512-1916
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Alabama College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83249 | SD | MD | Family Medicine Physician |
| 83249 | SC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Family Medicine | Current | Accepting new patients |
Locations
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
95 Shell St
Saraland, AL 36571
Phone (251) 341-2740
Interoperability endpoints
- mholland162728@directinfirmaryhealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
Family Medicine
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay Minette, AL
- NPI 1134164924
-
- Home Health Agency
- Mobile, AL
- NPI 1710929294
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- General Acute Care Hospital
- Crowley, LA
- NPI 1669882940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1932737491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 SHELL ST",
"city": "SARALAND",
"state": "AL",
"postal_code": "365712202",
"telephone_number": "251-675-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SHELL ST",
"city": "SARALAND",
"state": "AL",
"postal_code": "365712202",
"telephone_number": "251-675-4733"
}
],
"practiceLocations": [
{
"address_1": "2000 E Greenville St Ste 3700",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296211725",
"country_code": "US",
"telephone_number": "864-512-1916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLAND",
"first_name": "MICHAEL",
"middle_name": "RODGERS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "83249",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "83249",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "3262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saraland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.