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MR. MAX HOLMES LSW
NPI 1063123677
Social Worker in Carthage, IL

Active since December 06, 2022PECOS Enrolled
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321(217) 357-2173 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Max Holmes Lsw NPPES

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

MR. MAX HOLMES LSW (NPI 1063123677) is an individual social worker in Carthage, Illinois, licensed in Illinois (15016082) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063123677
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. MAX HOLMESCredential: LSW
Location Address1450 N COUNTY ROAD 2050 ECarthage, IL 62321-3551
Mailing Address1450 N County Road 2050 ECarthage, IL 62321-3551 · (217) 357-2173
Phone(217) 357-2173
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1063123677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 15016082
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1450 N COUNTY ROAD 2050 E, Carthage, IL 62321
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Max Holmes Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981146487
PECOS Enrollment IDI20260901003307
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.

Medicare Billing Reassignment

Medicare enrollment records show Max Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital Association
Same address
Critical Access
1454 N COUNTY ROAD 2050
Carthage, IL 62321
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mcdonough County Hospital District
  • 77 clinicians in this Medicare group
NPI 1730139031 (217) 357-8562

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

MELISSA K BREWER FNP-BC
Nurse Practitioner (Family)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-2173
GEORGE BRUMMELL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-6888
ROSALINDA CAMPOS M.D
Family Medicine
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-2173
LINDSAY BRUMMELL LPC
Counselor (Professional)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-6888
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Durable Medical Equipment & Medical Supplies
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-2173
MEMORIAL HOSPITAL ASSOCIATION
Clinic/Center (Rehabilitation, Substance Use Disorder)
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-6888
MRS. MARY JANE CLARK RN, CHES
Health and Wellness Coach
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-6832
ELIZABETH A PICKERING PA-C
Physician Assistant
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL 62321
Hancock County (217) 357-2173

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Max Holmes's NPI number?

The NPI number for Max Holmes is 1063123677. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Max Holmes located?

Max Holmes practices at 1450 N County Road 2050 E, Carthage, IL 62321. The listed phone number is (217) 357-2173.

What is Max Holmes's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Max Holmes enrolled in Medicare?

Yes. Max Holmes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Max Holmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Max Holmes reassigns Medicare benefits to Memorial Hospital Association (Carthage, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Max Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Max Holmes affiliated with any hospitals?

According to CMS data, Max Holmes is affiliated with Mc Donough District Hospital.

When was this NPI record last updated?

The NPPES record for Max Holmes was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.