Individual provider Active NPI

Heather Leigh Holloway, FNP-C

  • Family Nurse Practitioner
  • Pontotoc, MS
National Provider Identifier
1932855244
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905200 Issued in MS
Practice address
34 E Marion St
Pontotoc, MS 38863-2917
Phone
(662) 801-2826
Fax
(662) 356-1711
NPI assigned
Feb 24, 2022
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905200 MS Primary

Addresses

Primary practice location

34 E Marion St
Pontotoc, MS 38863-2917

Mailing address

34 E Marion St
Pontotoc, MS 38863-2917
Phone (662) 801-2826

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Elations Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324000031 MS Practitioner - Nurse Practitioner 3971998279 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Medplus Starkville LLCGroup PAC ID 8527474576, 3 clinicians
Medplus Urgent Clinic LLCGroup PAC ID 0648586487, 7 clinicians

Practice addresses (Care Compare)

1207 Ms Hwy 182
Starkville, MS 39759-6388
Phone (662) 320-7800

280 Turnpike Rd
Pontotoc, MS 38863-1310
Phone (662) 356-1511

874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone (662) 841-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905200MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Salus, PLLC Family CurrentSince Mar 1, 2022 Accepting new patients
Onsite House Call Clinic CurrentSince Jan 19, 2023 Accepting new patients

Locations

280 Turnpike Rd
Pontotoc, MS 38863
Phone (662) 356-1511

Interoperability endpoints

  • Direct secure messaging: heather.holloway.1@31437.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24734/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1932855244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E MARION ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632917",
            "telephone_number": "662-801-2826",
            "fax_number": "662-801-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E MARION ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632917",
            "telephone_number": "662-801-2826",
            "fax_number": "662-356-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elations",
            "affiliation": "N",
            "endpointDescription": "Elations Electronic health records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "280 Turnpike Rd",
            "city": "Pontotoc",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388631310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontotoc, MS

Sources for this page

Verify at the official NPI Registry.