William Gaston Holyfield IV, CPNP-AC/PC
NPI 1093245755ActiveIndividual· Nurse Practitioner, Pediatrics· Jackson, MS
Nurse Practitioner, Pediatrics (CPNP-AC/PC) in Jackson, Mississippi, licensed in MS, with an NPI issued in June 2017. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1093245755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPNP-AC/PC |
| Sole proprietor | No |
| NPI issued | Jun 15, 2017 |
| Last updated in NPPES | Jun 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 902064 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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