OrganizationActive
Holladay Medicorp, Inc.
NPI 1801862750 · Parenteral & Enteral Nutrition Supplies (DME) · Winston-Salem, NC
Provider details
- NPI number
- 1801862750
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Nick Elledge, Vice President(336) 679-8852
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2551 Landmark Dr
Winston-Salem, NC 27103-6717
Phone: (336) 760-2111
Fax: (336) 768-7731
Street-level locationGet directions
Mailing address
2551 Landmark Dr
Winston-Salem, NC 27103-6717
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.