DR. HOLLY M VAN DE VOORT MD
NPI 1174740385
Pediatrics in Moultrie, GA
About Dr. Holly M Van De Voort Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HOLLY M VAN DE VOORT MD (NPI 1174740385) is an individual pediatrics provider in Moultrie, Georgia, licensed in Georgia (59972) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Holly M Van De Voort Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Van De Voort reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oskaloosa, IA 52577
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1407869852 (Iowa)
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31768 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOULTRIE, GA 31768
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 Holly Van De Voort's NPI number?
The NPI number for Holly Van De Voort is 1174740385. It was assigned to this individual provider in the NPPES registry on April 19, 2007.
Where is Holly Van De Voort located?
Holly Van De Voort practices at 6 Hospital Park, Moultrie, GA 31768. The listed phone number is (229) 985-3320.
What is Holly Van De Voort's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Holly Van De Voort enrolled in Medicare?
Yes. Holly Van De Voort is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Van De Voort's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Van De Voort reassigns Medicare benefits to Mahaska County Hospital (Oskaloosa, IA). 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 Holly Van De Voort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Van De Voort accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Holly Van De Voort as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holly Van De Voort was last updated on July 28, 2023. 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.
# Dr. Holly M Van De Voort, MD · NPI 1174740385
Pediatrics physician in Moultrie, Georgia. Individual provider, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1174740385 (Entity type: Individual)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 59972 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 HOSPITAL PARK, Moultrie, GA 31768-6700
- **Phone:** (229) 985-3320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mahaska County Hospital (NPI 1356320659, Oskaloosa, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174740385) · Data from the CMS NPPES public registry.