ANDY WADE HOLLEY D.O. NPI 1700020005

NPI Information

  • NPI: 1700020005
  • Provider Name: ANDY WADE HOLLEY, D.O.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 703 ALCORN DR STE 102
    CORINTH, MS
    ZIP 38834
  • Phone: (662) 286-2522

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NPI Details

Andy Wade Holley, D.O. is a surgery in Corinth, MS with 17 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Andy Wade Holley, D.O. NPI is 1700020005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

703 ALCORN DR STE 102
CORINTH, MS
ZIP 38834-302
Phone: (662) 286-2522

The NPI 1700020005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Insertion of stomach tube using a flexible endoscope (HCPCS:43246)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/30/2009 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery5474TENNESSEENo
2208600000XSurgery23290MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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