LILLY HOLMES
NPI 1043169121
Physician Assistant - Medical in Birmingham, AL

Q: What is Lilly Holmes's NPI number?

The NPI number for Lilly Holmes is 1043169121. It was assigned to this individual provider in the NPPES registry on January 22, 2026.

Q: What is Lilly Holmes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lilly Holmes was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 22, 2026PECOS EnrolledAccepts Medicare Assignment

619 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2026, Jan 22, 2026 (2 updates tracked since 2026).

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About Lilly Holmes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLY HOLMES (NPI 1043169121) is an individual medical provider in Birmingham, Alabama, licensed in Alabama (PA.2800) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043169121

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLILLY HOLMES

Location Address619 19TH ST SBirmingham, AL 35233-1900

Mailing AddressPo Box 55310Birmingham, AL 35255-5310

Phone(205) 934-4011

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 22, 2026

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1043169121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AL · PA.2800

619 19TH ST S, Birmingham, AL 35233

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Secondary Practice Location 1

Location 1101 Leaf Lake Blvd Apt 1512Birmingham, AL 35211-7259 · Phone (256) 627-8226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lilly Holmes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557838323

PECOS Enrollment IDI20260429002432

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASHA KAISER MD

Emergency Medicine (Medical Toxicology)