Individual provider Active NPI

David Carroll Holladay, M.D.

  • Obstetrics & Gynecology Physician
  • West Columbia, SC
National Provider Identifier
1962472936
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12480 Issued in SC
Practice address
2728 Sunset Blvd Ste 201
West Columbia, SC 29169-4837
Phone
(803) 254-1300
Fax
(803) 771-7597
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 124804 SC
Obstetrics & Gynecology Physician 207V00000X 12480 SC Primary

Addresses

Primary practice location

2728 Sunset Blvd Ste 201
West Columbia, SC 29169-4837

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dholladay11897@direct.lexmed.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000071 SC Practitioner - Obstetrics/Gynecology 0648447268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12480SCMDClinical Social Worker
124804SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Obstetrics & Gynecology CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients

Locations

700 Gervais St
Ste 300
Columbia, SC 29201
Phone (803) 254-3230

7045 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 836-7590

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 201
West Columbia, SC 29169
Phone (803) 254-1300

2728 Sunset Blvd
Ste 400
West Columbia, SC 29169
Phone (803) 936-7095

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1962472936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD STE 201",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694837",
            "telephone_number": "803-254-1300",
            "fax_number": "803-771-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "DAVID",
        "middle_name": "CARROLL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "124804",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "12480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dholladay11897@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 201",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.