Carlin Bullard Hollar, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200200377 Issued in NC

Practice address

4010 Mendenhall Oaks Pkwy
High Point, NC 27265-8076

Phone

(336) 887-3195

Fax

(336) 887-3194

NPI assigned

Dec 14, 2006

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Dermatology

Education

Wake Forest University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Carolina Dermatology Clinic IncGroup PAC ID 9436140738, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

90.82

Improvement activities

40

Cost

86.86

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chollar@centralcarolinaderm.ezderm.info

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.

• Central Carolina Dermatology Clinic, Inc

  • Clinical & Laboratory Dermatological Immunology Physician
  • High Point, NC
  • NPI 1316943145

  Dermatology

  Medicare reassignment Care Compare group NPD

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

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1982766309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MENDENHALL OAKS PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658076",
            "telephone_number": "336-887-3195",
            "fax_number": "336-887-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MENDENHALL OAKS PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658076",
            "telephone_number": "336-887-3195",
            "fax_number": "336-887-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Harmon Ln",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842936",
            "country_code": "US",
            "telephone_number": "336-996-1173",
            "fax_number": "336-996-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAR",
        "first_name": "CARLIN",
        "middle_name": "BULLARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200200377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "135U6",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chollar@centralcarolinaderm.ezderm.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4010 Mendenhall Oaks Pkwy",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272658076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Linda Holland Simpson, OTR/L
• Josie Holland, MSW, LCSW
• Tameshea Holmes
• Home Health Professionals of Guilford, Inc. (Home Health Professionals)
• Home Health Professionals of Guilford, Inc. (Home Health Professionals)
• Home Medical Systems Inc (Rotech)
• Home Sweet Home Professionals; Home Care

• Dermatology Physician in High Point, NC
• Providers in High Point, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.