HOLLAND M ADDISON (NPI# 1396816989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396816989 |
| Entity Type | Individual |
| Full Name | HOLLAND M ADDISON |
| Credential | M.D. |
| Practice Address |
1200 N State St Suite 500 Jackson MS 39202-2000 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 6013522273 |
| Practice Fax Number | 6017143415 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
08984 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1200 N STATE ST SUITE 500 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295573 | Kenneth P Toler Jr. | Ophthalmology | 1200 N State St, Ste 330, Jackson, MS 39202-2027 | 2005-06-17 |
| 1467012203 | Meredith Celeste Boston | Nurse Practitioner | 1200 N State St, Jackson, MS 39202-2000 | 2019-06-14 |
| 1477089233 | Brian Scott Mcmanus | Student in an Organized Health Care Education/Training Program | 1200 N State St, Ummc - Department of Otolaryngology, Jackson, MS 39202-2000 | 2017-05-11 |
| 1902346364 | Medical Foundation of Central Ms Inc | Physical Therapist | 1200 N State St, Suite 210, Jackson, MS 39202-2000 | 2017-03-06 |
| 1295283687 | Medical Foundation of Central Ms Inc | Family Medicine | 1200 N State St, Suite Ll-10, Jackson, MS 39202-2000 | 2016-09-14 |
| 1326412289 | Charles M Remus | Physical Therapy Assistant | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2015-11-16 |
| 1760858286 | Medical Foundation of Central Ms Inc. | Family Medicine | 1200 N State St, 5th Floor, Jackson, MS 39202-2000 | 2015-08-19 |
| 1003103516 | Rebecca Chick Pace | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1356638845 | Christina C. Glover | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1447578752 | Mark Gill Kosko | Ophthalmology | 1200 N State St, Ste 330, Jackson, MS 39202-2027 | 2010-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657268 | Subir Ghosh | Internal Medicine | 832 Hwy 15 North, Jackson, KY 41339-8601 | 2005-05-24 |
| 1740741362 | Safa Osman | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2019-03-27 |
| 1962865162 | Daniel Hester | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-04 |
| 1922469543 | Ultra Health LLC | Internal Medicine | 36 Pemberton Cv, Jackson, TN 38305 | 2016-03-09 |
| 1891194635 | Rola Abi Saleh | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2014-08-18 |
| 1528221009 | Vicky C Pilkington | Internal Medicine | 1200 N State St, Suite 480, Jackson, MS 39202-2000 | 2008-07-06 |
| 1477621324 | Beverly Gwen Windham | Internal Medicine | 2500 North State Street, Department of Medicine Division of Geriatrics, Jackson, MS 39216 | 2006-11-30 |
| 1457375909 | William M. Meeks | Internal Medicine | 2500 North State Street, Department of Medicine/division of Geriatrics, Jackson, MS 39216-4500 | 2006-07-27 |
| 1659398352 | Chere Hunter Peel | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-07-17 |
| 1013942895 | Kimberly C. Covington Tarver | Internal Medicine | 2500 North State Street, Department of Medicine/division of Geriatrics, Jackson, MS 39216-4500 | 2006-07-11 |
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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.