Andy W Holley (NPI# 1700020005, PAC ID# 9234360488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1700020005 |
| PAC ID by PECOS | 9234360488 |
| Professional Enrollment ID | I20140923000693 |
| Full Name | Andy W Holley |
| Organization Legal Name | MAGNOLIA SURGICAL GROUP |
| Address |
703 Alcorn Dr Suite 102 Corinth MS 38834-9302 |
| Phone Number | 6622862522 |
| Gender | M |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6204825755 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250009 | MAGNOLIA REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 703 Alcorn Dr, Suite 102, Corinth, MS 38834-9302 | 6622862522 | MAGNOLIA SURGICAL GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 51% |
| Organization Legal Name | MAGNOLIA SURGICAL GROUP |
| Physicians | 1 |
| Street Address |
703 ALCORN DR SUITE 102 |
| City | CORINTH |
| State | MS |
| Zip | 38834-9302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynette Sartin | Nurse Practitioner | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Hannah E Beckham | Nurse Practitioner | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Alphonsus L Flannery | Family Medicine | 703 Alcorn Dr, Suite 106, Corinth, MS 38834-9302 | |
| Mathew B Johnson Jr. | General Surgery | 703 Alcorn Dr, Suite 102, Corinth, MS 38834-9302 | |
| Amy B Davis | Emergency Medicine | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Hilary A Glover | Nurse Practitioner | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| William M Ross | Emergency Medicine | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Renea Michelle Hopple | Nurse Practitioner | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Mary E Pounders | Nurse Practitioner | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Brittany Clayton Taylor | Nurse Practitioner | Magnolia Express Care | 703 Alcorn Dr, Suite 109, Corinth, MS 38834-9302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Stewart | Physical Therapy | 1708 E Shiloh Rd, Corinth, MS 38834-3635 | |
| Jennifer H Garrett | Ophthalmology | Garrett Eye Clinic Pllc | 1804 E Shiloh Rd, Corinth, MS 38834-3637 |
| Meredith M Rhodes | Optometry | Garrett Eye Clinic Pllc | 1804 E Shiloh Rd, Corinth, MS 38834-3637 |
| William Nathanial Alexander | Chiropractic | 1500 N Harper Rd, Suite 2, Corinth, MS 38834-3700 | |
| Deborah B Moore | Nurse Practitioner | King Family Healthcare Inc | 2006 Robertson St, Corinth, MS 38834-3720 |
| Elizabeth B Wilbanks | Nurse Practitioner | Magnolia Internal Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 |
| Timothy L Noyes | Internal Medicine | Magnolia Internal Medicine | 2000 E Shiloh Rd, Corinth, MS 38834-3724 |
| Nixon D Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| John D Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| William P Dodd | Optometry | Dodd Eye Clinic P. C. | 618 N Fillmore St, Corinth, MS 38834-4825 |
| Find all physicians in zip 38834 | |||
| City | CORINTH |
| Zip Code | 38834 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | CORINTH + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Andy W Holley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.