Active NPI
Edward H Holmes, M.D.
- Pulmonary Disease Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 07673
- Practice address
- 2024 15TH St FL 2
Meridian, MS 39301-4130 - Phone
- (601) 553-2000
- Fax
- (601) 483-9471
- NPI assigned
- Jun 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 07673 | MS | Primary |
Addresses
Primary practice location
2024 15TH St FL 2
Meridian, MS 39301-4130
Mailing address
2024 15TH St FL 2
Meridian, MS 39301-4130
Phone (601) 553-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123662 | Medicaid | MS |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050523001041 | MS | Practitioner - Pulmonary Disease | 7214924547 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07673 | MS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Medical Associates, PA | Pulmonary Disease | Current | Accepting new patients |
| Meridian Hma LLC | Past | Accepting new patients | |
| Meridian Hma LLC | Past | Accepting new patients |
Locations
2024 15th St
Fl 2
Meridian, MS 39301
Phone (601) 553-2000
1102 Constitution Ave
#F
Meridian, MS 39301
Phone (601) 693-2511
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511
1102 Constitution Ave
Fl 2
Meridian, MS 39301
Phone (601) 484-7900
Organizations & group practices 3
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
- Meridian, MS
- NPI 1316051766
MS, Pulmonary Disease
-
- Rehabilitation Hospital Unit
- Meridian, MS
- NPI 1336180512
-
- Cardiovascular Disease Physician
- Meridian, MS
- NPI 1578620746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1962408302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 15TH ST FL 2",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-553-2000",
"fax_number": "601-483-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 15TH ST FL 2",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014130",
"telephone_number": "601-553-2000",
"fax_number": "601-483-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "EDWARD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MS",
"license": "07673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123662",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.