Ivey Ellis Holt (NPI# 1831430032, PAC ID# 3577700632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1831430032 |
| PAC ID by PECOS | 3577700632 |
| Professional Enrollment ID | I20190117001166 |
| Full Name | Ivey Ellis Holt |
| Organization Legal Name | HUGHSTON CLINIC PC |
| Address |
512 N Shady Ln Dothan AL 36303-2991 |
| Phone Number | 3346995747 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355254780 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010168 | JACK HUGHSTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 512 N Shady Ln, Dothan, AL 36303-2991 | 3346995747 | HUGHSTON CLINIC PC |
| 4401 River Chase Dr, Phenix City, AL 36867-7483 | 3347323000 | HUGHSTON CLINIC PC |
| Organization Legal Name | HUGHSTON CLINIC PC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicklaus Brian Childers | Nurse Practitioner | Hughston Clinic PC | 161 E University Dr, Auburn, AL 36832-5889 |
| Norman L Donati Jr. | Orthopedic Surgery | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Benjamin W Durham | Physician Assistant | Hughston Clinic PC | 522 N Ctr St, Thomaston, GA 30286-3695 |
| Jolene M Stewart | Physician Assistant | Hughston Clinic PC | 6262 Veterans Pkwy, Columbus, GA 31909-3540 |
| Vickie E Jordan | Occupational Therapy | Hughston Clinic PC | 107 Calumet Ctr Rd, Lagrange, GA 30241-6705 |
| John I Waldrop | Orthopedic Surgery | Hughston Clinic PC | 100 N Macon St, Macon, GA 31210-6563 |
| John K Burkus | Orthopedic Surgery | Hughston Clinic PC | 4340 Kings Way, Valdosta, GA 31602-6921 |
| Robert Sumner Pilcher | Orthopedic Surgery | Hughston Clinic PC | 117 Oakland Pkwy, Leesburg, GA 31763-7201 |
| Darin White | Physical Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Robert F Hopkins | Physical Therapy | Hughston Clinic PC | 6262 Veterans Pkwy, Columbus, GA 31909-3540 |
| Street Address |
512 N SHADY LN |
| City | DOTHAN |
| State | AL |
| Zip | 36303-2991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman L Donati Jr. | Orthopedic Surgery | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Darin White | Physical Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Frederick C. Flandry | Sports Medicine | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Patrick J Fernicola | Orthopedic Surgery | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Eme R Howard | Occupational Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Quinn Millington | Physical Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| David C Rehak | Hand Surgery | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Matthew Garrett Stewart | Orthopedic Surgery | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Jennifer Farris | Physical Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Tiffany Nolin | Physical Therapy | Hughston Clinic PC | 512 N Shady Ln, Dothan, AL 36303-2991 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Amanda L Day | Physician Assistant | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Emily Ingram | Nurse Practitioner | American Family Care Inc | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 |
| Benjamin L Sneed | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Mary E Weaver | Emergency Medicine | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Michael B Nance | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jason M Martin | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jennifer M Parrish | Nurse Practitioner | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Hassan Kesserwani | Neurology | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Melanie K Cotter | Psychologist, Clinical | 100 Westside Dr, Dothan, AL 36303-1908 | |
| Find all physicians in zip 36303 | |||
| City | DOTHAN |
| Zip Code | 36303 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DOTHAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ivey Ellis Holt.
| 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.