DR. JOSEPH EUGENE HOLLEY MD NPI 1952342586

NPI Information

NPI: 1952342586
Provider Name: DR. JOSEPH EUGENE HOLLEY, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
275 ISLAND VILLAGE DR
MEMPHIS, TN
ZIP 38103
Phone: (901) 493-5374
Get Directions

DR. Joseph Eugene Holley, MD is a general practice in Memphis, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Joseph Eugene Holley, MD NPI is 1952342586. 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:

275 ISLAND VILLAGE DR
MEMPHIS, TN
ZIP 38103-028
Phone: (901) 493-5374

The NPI 1952342586 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 enumeration date for this NPI number is 6/8/2006 and was last updated on 7/24/2014.

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	License Number	License State	Primary
1	207P00000X	Emergency Medicine	19758	TENNESSEE	No
2	207P00000X	Emergency Medicine	11045	MISSISSIPPI	No
3	208D00000X	General Practice	019758	TENNESSEE	No
4	208D00000X	General Practice	11045	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	930003208	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	154941002	MEDICAID	ARKANSAS
3	4081932	OTHER	TENNESSEE	BLUE CROSS
4	00017398	MEDICAID	MISSISSIPPI
5	3046356	MEDICAID	TENNESSEE
6	3046357	MEDICARE PIN	TENNESSEE
7	B31066	MEDICARE UPIN	TENNESSEE
8	P00293653	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE RAILROAD

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: 4/28/2024

NPI Synchronization or Removal

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