Individual provider Active NPI

Daniel N Holland, MD

  • Emergency Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1982652871
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD28697 Issued in ME
Practice address
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone
(850) 863-7607
Fax
(205) 437-5998
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME44719 FL
Emergency Medicine Physician 207P00000X MD28697 ME Primary

Addresses

Primary practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Mailing address

PO Box 88452
Chicago, IL 60680-1452
Phone (205) 437-6098

Other identifiers 3

IdentifierTypeStateIssuer
17635OtherFLBCBS PROVIDER NUMBER
059187650OtherALBCBS PROVIDER NUMBER
040447100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, TX, ME, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20081014000469 MS Practitioner - Emergency MedicinePractitioner - Family Practice 6305744061 Reassigns benefits to 4 organizations
I20240304002665 AL Practitioner - Emergency Medicine 6305744061 Reassigns benefits to 4 organizations
I20240710002101 TX Practitioner - Emergency Medicine 6305744061 Reassigns benefits to 1 organization
I20250103001865 ME Practitioner - Emergency Medicine 6305744061 Reassigns benefits to 1 organization
I20250624001945 WI Practitioner - Emergency Medicine 6305744061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians

Practice addresses (Care Compare)

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321

Hospital & facility affiliations

  • Magee General Hospital Hospital, Magee, MS, CCN 250124
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
  • Langlade Hospital Hospital, Antigo, WI, CCN 521350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28697MEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Gadsden HB Medical Services LLC Emergency Medicine CurrentSince Nov 14, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jan 15, 2024 Accepting new patients
Lawton Indian Hospital CurrentSince Jun 28, 2024 Accepting new patients
Magee Benevolent Association CurrentSince Oct 19, 2025 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Jan 15, 2024 Accepting new patients
Magee Benevolent Association CurrentSince Oct 19, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Grenada Emergency Group, LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
4MD2 Physician Services of Fort Walton Beach LLC Emergency Medicine Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

29980 Network Pl
Chicago, IL 60673

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

Interoperability endpoints

  • Direct secure messaging: dholland224534@ummc.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1982652871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88452",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606801452",
            "telephone_number": "205-437-6098",
            "fax_number": "205-437-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-863-7607",
            "fax_number": "205-437-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DANIEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME44719",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD28697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "17635",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "059187650",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040447100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.