Holly Springs Family Medical LLC
NPI 1518692342ActiveOrganization· Nurse Practitioner, Family· Holly Springs, MS
Nurse Practitioner, Family in Holly Springs, Mississippi, registered in NPPES in July 2022. The authorized official on file is Jerry D. Williams, DNP, FNP-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518692342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2022 |
| Last updated in NPPES | Sep 1, 2022 |
| Certified by provider | Sep 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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