Individual provider Active NPI

Jann L Holwick, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Christiansburg, VA
National Provider Identifier
1992790406
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
0101048833 Issued in VA
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

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010042470MedicaidVA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
010148833VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wvva Health Care Alliance, PC Surgery PastSince Dec 1, 2004 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.

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

Verify at the official NPI Registry.