JAMES KENNETH HOLLINGSWORTH
NPI 1114545563
Counselor - Professional in Fayetteville, NC

Q: What is James Hollingsworth's NPI number?

The NPI number for James Hollingsworth is 1114545563. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Q: What is James Hollingsworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is James Hollingsworth enrolled in Medicare?

No. James Hollingsworth has opted out of Medicare through March 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since July 13, 2020Opted out of Medicare · through Mar 24, 2027

2577 RAVENHILL DR, FAYETTEVILLE, NC 28303(910) 438-0947 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James Kenneth Hollingsworth NPPES

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

JAMES KENNETH HOLLINGSWORTH (NPI 1114545563) is an individual professional provider in Fayetteville, North Carolina and active in the NPI registry since July 2020. He has opted out of Medicare through March 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114545563

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJAMES KENNETH HOLLINGSWORTH

Location Address2577 RAVENHILL DRFayetteville, NC 28303-5451

Mailing Address1105 Clark St # AFayetteville, NC 28305-5341 · (910) 590-7097

Phone(910) 438-0947

Sole ProprietorYes

Enumeration DateJuly 13, 2020

NPPES CertifiedJuly 13, 2020

✔ NPI 1114545563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

2577 RAVENHILL DR, Fayetteville, NC 28303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

James Kenneth Hollingsworth has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 24, 2025 through March 24, 2027.

Opt-Out Effective DateMarch 24, 2025

Opt-Out In Effect ThroughMarch 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

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