CHARLES MITCHELL HOLLAND (NPI# 1285657916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285657916 |
| Entity Type | Individual |
| Full Name | CHARLES MITCHELL HOLLAND |
| Credential | M.D. |
| Practice Address |
509 Brookman Dr Brookhaven MS 39601-2326 |
| Practice Telephone | 6018235204 |
| Practice Fax Number | 6018331224 |
| Mailing Telephone | 6018235204 |
| Mailing Fax Number | 6018331224 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 11043 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811293558 | Charles E Holland | Physical Therapist | 161 Berryhill Cv, Pontotoc, MS 38863-7698 | 2011-01-27 |
| 1780757245 | Charles E Holland | Psychiatry & Neurology | 400 W Main, #212, Round Rock, TX 78664 | 2006-11-15 |
| 1740376680 | Charles Wayne Holland | Dentist | 1310 Nash Street North, Wilson, NC 27893 | 2006-10-05 |
| 1184610180 | Charles Howard Holland | Psychologist | 3621 Manassas Dr, Roanoke, VA 24018-4031 | 2005-09-25 |
| 1184121816 | Charles Stewart Holland | Counselor | 750 Tilden St, Bronx, NY 10467-6013 | 2018-04-10 |
| 1306073523 | Charles Eric Holland | Nurse Anesthetist, Certified Registered | 750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5010 | 2009-06-15 |
| 1093961666 | Charles Jackson Holland | Orthopaedic Surgery | 2390 Phillips Road, Tallahassee, FL 32308-5326 | 2008-08-14 |
| 1134294549 | Charles Heath Holland | Optometrist | 1106 Walnut St, Oskaloosa, KS 66066-4203 | 2006-11-21 |
| 1144241704 | Charles Dale Holland Jr. | Otolaryngology | 205 Se Howard Ave, Bartlesville, OK 74006-2204 | 2006-07-21 |
| Street Address |
509 BROOKMAN DR |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518793 | Timothy Ray Shann | Pediatrics | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2006-04-19 |
| 1881063444 | Kayla Dean Thurman | Nurse Practitioner | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2015-09-24 |
| 1194064188 | Amber N Martin | Nurse Practitioner | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2013-02-11 |
| 1619211992 | Deontranese Treva Taylor | Nurse Practitioner | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2012-11-27 |
| 1629349931 | Lucy S Holloway | Nurse Practitioner | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2012-01-18 |
| 1114155884 | Joshua William Iles | Pediatrics | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477518793 | Timothy Ray Shann | Pediatrics | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2006-04-19 |
| 1891771408 | Nilsa I. Nazario | Pediatrics | 3369 Buford Hwy Ne Ste 810, Brookhaven, GA 30329-3722 | 2005-12-16 |
| 1154703098 | Karen Broder | Pediatrics | 3367 Buford Hwy Ne, Suite 910, Brookhaven, GA 30329-1833 | 2015-06-28 |
| 1871848960 | Britt Medical Group LLC | Pediatrics | 511 Brookman Dr, Brookhaven, MS 39601-2326 | 2012-07-16 |
| 1114155884 | Joshua William Iles | Pediatrics | 509 Brookman Dr, Brookhaven, MS 39601-2326 | 2009-07-01 |
| 1649433525 | Jamilet Cristy Alegria | Pediatrics | 1401 Dresden Dr Ne, Brookhaven, GA 30319-3579 | 2008-07-09 |
| 1982702155 | Jackson Scott Thomas | Pediatrics | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2006-09-20 |
| 1003928672 | Brookhaven Children's Clinic | Pediatrics | 624 Highway 51 N, Brookhaven, MS 39601-2337 | 2006-08-31 |
| 1689697336 | David Steven Braden | Pediatrics | 624 Highway 51 N, Brookhaven, MS 39601-2337 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464181 | Meredith Sanford | Pediatrics | 101 Farm View Dr, Oxford, MS 38655-7728 | 2020-10-15 |
| 1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1992356166 | Marcie P Errington | Pediatrics | 3110 Sumrall Rd, Crystal Springs, MS 39059-8955 | 2019-09-27 |
| 1235635566 | North Mississippi Medcial Center, Inc. | Pediatrics | 1150 S Green St Ste D, Tupelo, MS 38804-4901 | 2018-04-04 |
| 1538675798 | The Pedz Clinic | Pediatrics | 610 3rd St Sw, Magee, MS 39111-3994 | 2017-12-22 |
| 1841715539 | Happicare One LLC Ppec Pediatric Daycare | Pediatrics | 213 W Park Ave, Greenwood, MS 38930-3008 | 2017-08-03 |
| 1336598028 | Andrea Logan Md | Pediatrics | 3631 Bienville Blvd Ste B, Ocean Springs, MS 39564-5702 | 2016-06-03 |
| 1730541640 | Stephanie Harrell | Pediatrics | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2016-03-22 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.