Active NPI
Jann L Holwick, MD
- Addiction Medicine (Internal Medicine) Physician
- Christiansburg, VA
National Provider Identifier
1992790406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 0101048833
- Practice address
- 1095 N. Franklin St.
Christiansburg, VA 24073 - Phone
- (304) 647-0677
- Fax
- (309) 758-5035
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 010148833 | VA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 0101048833 | VA | Primary |
Addresses
Primary practice location
1095 N. Franklin St.
Christiansburg, VA 24073
Mailing address
668 Beethoven Lane
Williamsburg, WV 24991
Phone (304) 645-2797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010042470 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 20, 2015 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010148833 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wvva Health Care Alliance, PC | Surgery | Past | Accepting new patients |
| Savida Health, PC | Addiction Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction Medicine (Internal Medicine) Physician
- W Springfield, MA
- NPI 1316253875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1992790406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 BEETHOVEN LANE",
"city": "WILLIAMSBURG",
"state": "WV",
"postal_code": "24991",
"telephone_number": "304-645-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 N. FRANKLIN ST.",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "24073",
"telephone_number": "304-647-0677",
"fax_number": "309-758-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLWICK",
"first_name": "JANN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "010148833",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "VA",
"license": "0101048833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010042470",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.