Holly Springs Family Medical LLC
NPI 1518692342 · Family Nurse Practitioner · Holly Springs, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holly Springs Family Medical LLC is a Family Nurse Practitioner organization in Holly Springs, MS (NPI 1518692342).
Provider details
- NPI number
- 1518692342
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jerry Williams, Owner(662) 274-3212
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-17
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Frequently asked questions
- What is Holly Springs Family Medical LLC's NPI number?
- Holly Springs Family Medical LLC's National Provider Identifier (NPI) is 1518692342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holly Springs Family Medical LLC?
- Holly Springs Family Medical LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Holly Springs Family Medical LLC located?
- Holly Springs Family Medical LLC's practice location on file with NPPES is 130 W Van Dorn Ave, Holly Springs, MS 38635-2902.
- What is Holly Springs Family Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Holly Springs Family Medical LLC is (662) 274-3212.
- Does Holly Springs Family Medical LLC accept Medicare?
- Holly Springs Family Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holly Springs Family Medical LLC?
- The authorized official listed on Holly Springs Family Medical LLC's NPPES record is Jerry Williams, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holly Springs Family Medical LLC's NPI active?
- Yes — Holly Springs Family Medical LLC's NPI (1518692342) is active in the NPPES registry as of the last update on 2022-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.