Mark Manning Holt, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD33994 Issued in TN

Practice address

2815 W Andrew Johnson Hwy
Morristown, TN 37814-3216

Phone

(423) 254-5000

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, FL2 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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Ponce School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Sacred Heart GulfGroup PAC ID 9830231034, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mark.holt.1@10667.direct.athenahealth.com

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.

• Ascension Sacred Heart Gulf

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1528336302
  Medicare reassignment Care Compare group
• Mid-State Cardiology Associates, P.C.

  • Specialist
  • Nashville, TN
  • NPI 1740276450
  NPD (past)
• Williamson County Hospital District

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  NPD (past)
• Williamson Hospitalist Program

  • Hospitalist Physician
  • Franklin, TN
  • NPI 1871057158
  NPD (past)
• John J Lee MD a Professional Corporation

  • Vascular Surgery Physician
  • Rancho Mirage, CA
  • NPI 1780040840
  NPD (past)

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

• Ascension Sacred Heart Gulf

  • Rural Acute Care Hospital
  • Port St Joe, FL
  • NPI 1083941678
  Care Compare affiliation
• Bay County Health System, LLC

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1992708895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 4TH ST STE 201",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213736",
            "telephone_number": "865-647-5800",
            "fax_number": "865-647-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143216",
            "telephone_number": "423-254-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 4th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378213736",
            "country_code": "US",
            "telephone_number": "865-647-5800",
            "fax_number": "865-647-5979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARK",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C53118",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD33994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.holt.1@10667.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "434 4th St Ste 201",
            "city": "Newport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378213736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cory Lewis Holt, NP
• Eric Holt
• Haven Holt
• Janis Lynn Holt, M.D.
• Lorryn Holt, RN
• Pamela Jane Holt, CRNP
• Sanford Holt
• Denise Honeyford
• Terri J Hooper, FNP
• Emilee Morgan Hoover

• Cardiovascular Disease Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.