DR. JERRY MICHAEL HOLLINGSWORTH (NPI# 1942244736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942244736 |
| Entity Type | Individual |
| Full Name | DR. JERRY MICHAEL HOLLINGSWORTH |
| Credential | D.O. |
| Practice Address |
867 Lee Rd. 248 Smiths AL 36877 |
| Mailing Address |
867 Lee Rd 248 Po Box 1417 Smiths AL 36877 |
| Practice Telephone | 3342918400 |
| Practice Fax Number | 3342918409 |
| Mailing Telephone | 3342918400 |
| Mailing Fax Number | 3342918409 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
D0497 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CIGNA | 1223358 | 01 |
| Street Address |
867 LEE RD. 248 |
| City | SMITHS |
| State | AL |
| Zip Code | 36877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508391467 | Eric Todd Bloch | Psychologist | 2061 County Road 430, Smiths Station, AL 36877 | 2017-04-27 |
| 1164756706 | Concierge Home Healthcare,llc | Home Health | 400 Lee Road 941, Smiths Station, AL 36877 | 2009-09-30 |
| 1760605851 | Jmh Medical Services, LLC | Family Medicine | 867 Lee Rd 248, Smiths Station, AL 36877 | 2007-04-10 |
| 1851444590 | Smiths Plaza Drugs Inc | Durable Medical Equipment & Medical Supplies | 2463 Lee Road 430, Smiths Station, AL 36877 | 2007-01-18 |
| 1669989612 | Jessica Leigh Hutzul | Specialist/Technologist | 98 Lee Road 2148, Smiths Station, AL 36877-2123 | 2017-12-29 |
| 1952549529 | Smiths Station and Phenix City Psychological | Psychologist | 2061lee Road 430, Smiths Station, AL 36877-2307 | 2009-02-04 |
| 1841841236 | Nursie Mae Thomas | Technician | 318 Lee Road 929, Smiths Station, AL 36877-2308 | 2019-09-26 |
| 1750765137 | Smiths Station Pharmacy LLC | Pharmacy | 2828 Lee Road 430, Smiths Station, AL 36877-2571 | 2015-07-15 |
| 1750898946 | Smiths Station Fire and Rescue | Ambulance | 50 Lee Road 430, Smiths Station, AL 36877-2600 | 2018-01-09 |
| 1245676378 | Medical Equipment Solutions, LLC | Durable Medical Equipment & Medical Supplies | 15405 Hwy 280 E, Smiths Station, AL 36877-2685 | 2013-05-15 |
| Find all providers in zip 36877 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013465988 | Steve Lovelady Md LLC | Family Medicine | 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406-2430 | 2016-09-20 |
| 1821454224 | Harveen Sodhi | Family Medicine | 5310 Medford Dr, Hoover, AL 35244-2108 | 2016-01-14 |
| 1316363807 | Charles Karst IIi | Family Medicine | 6110 Monticello Dr, Montgomery, AL 36117-2625 | 2014-03-09 |
| 1174869820 | Self and Self Company, LLC | Family Medicine | 306 Greeno Rd S, Suite A, Fairhope, AL 36532-1905 | 2012-12-28 |
| 1740536036 | Franklin Primary Health Center, Inc | Family Medicine | 201 Dolive St, Bay Minette, AL 36507-3226 | 2012-07-24 |
| 1912260886 | Lloyd W. Russell | Family Medicine | 7325 Sibley St, 1040, Montrose, AL 36559-2100 | 2012-06-16 |
| 1184800948 | Delano Benjamin | Family Medicine | 1480 Forestdale Blvd, Forestdale, AL 35214-3034 | 2008-01-11 |
| 1760605851 | Jmh Medical Services, LLC | Family Medicine | 867 Lee Rd 248, Smiths Station, AL 36877 | 2007-04-10 |
| 1578645396 | Hazel Green Primary Care | Family Medicine | 13596 Highway 231 431 N, Suite 4, Hazel Green, AL 35750-8617 | 2006-10-20 |
| 1669563649 | Erwin Harry Peyton Jr. | Family Medicine | 601 S 4th St, Suite B, Gadsden, AL 35901-5218 | 2006-09-27 |
| Find all providers with the same taxonomy | ||||
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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.