NPIMap

Individual provider Active NPI

Holly Lain Humphrey, M.D.

  • Cardiovascular Disease Physician
  • Kernersville, NC
National Provider Identifier
1952526980
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2008-00471 Issued in NC
Practice address
1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159
Phone
(336) 515-5000
Fax
(336) 515-5310
NPI assigned
Apr 16, 2007
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008-00471 NC
Cardiovascular Disease Physician 207RC0000X 2008-00471 NC Primary
Interventional Cardiology Physician 207RI0011X 2008-00471 NC

Addresses

Primary practice location

1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674

Other practice location 1

306 Westwood Ave
High Point, NC 27262-4341
Phone (336) 885-6168

Other practice location 2

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000870 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991840332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Carolina at Chapel Hill School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

709 N Justice St
Suite a
Hendersonville, NC 28791-3455
Phone (828) 697-7377

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 1, 2025 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2022 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine PastSince Jul 18, 2023 Accepting new patients
Moses Cone Medical Services, Inc. Past Accepting new patients
Salisbury Vamc PastSince Jan 21, 2022 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

709 N Justice St
Ste A
Hendersonville, NC 28791
Phone (828) 694-7630

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

306 Westwood Ave
Ste 401
High Point, NC 27262
Phone (336) 885-6168

45 Hendersonville Hwy
Ste B
Pisgah Forest, NC 28768
Phone (828) 435-8080

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: hhumphrey3026803@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1952526980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 KERNERSVILLE MEDICAL PKWY",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847159",
            "telephone_number": "336-515-5000",
            "fax_number": "336-515-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Westwood Ave",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624341",
            "country_code": "US",
            "telephone_number": "336-885-6168",
            "fax_number": "336-885-8523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "HOLLY",
        "middle_name": "LAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-00471",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2008-00471",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2008-00471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.