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CHARLES MITCHELL HOLLAND M.D.
NPI 1285657916
Pediatrics in Brookhaven, MS

Active since July 25, 2006PECOS Enrolled
509 BROOKMAN DR, BROOKHAVEN, MS 39601(601) 823-5204(601) 833-1224 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Mitchell Holland M.d. NPPES

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

CHARLES MITCHELL HOLLAND M.D. (NPI 1285657916) is an individual pediatrics provider in Brookhaven, Mississippi, licensed in Mississippi (11043) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285657916
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCHARLES MITCHELL HOLLANDCredential: M.D.
Location Address509 BROOKMAN DRBrookhaven, MS 39601-2326
Mailing Address509 Brookman DrBrookhaven, MS 39601-2326 · (601) 823-5204 · Fax (601) 833-1224
Phone(601) 823-5204
Fax(601) 833-1224
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 25, 2016
✔ NPI 1285657916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MS · 11043
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
509 BROOKMAN DR, Brookhaven, MS 39601
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Other Identifiers 3

Medicare ID-Type Unspecified370000428MS
Medicaid00115067MS
Medicare UPINB30713MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Mitchell Holland M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Charles Holland reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kdmc Physician Clinics LLC
0.8 mi
Multi-Specialty
950 BROOKWAY BLVD
Brookhaven, MS 39601
  • Reassigned Medicare billing, Mississippi enrollment
  • 49 clinicians in this Medicare group
NPI 1861739161 (601) 823-5103
Kings Daughters Medical Center
1.0 mi
Anesthesiology
427 HIGHWAY 51 N
Brookhaven, MS 39601
  • Reassigned Medicare billing, Mississippi enrollment
  • 153 clinicians in this Medicare group
NPI 1043245368 (601) 835-9275

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 39601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

JOSHUA WILLIAM ILES M.D.
Pediatrics
509 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 823-5204
TIMOTHY RAY SHANN MD
Pediatrics
509 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 823-5204
LUCY S HOLLOWAY CFNP
Nurse Practitioner (Family)
509 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 823-5204
CAYCEE GARRETT NP
Nurse Practitioner (Pediatrics)
509 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 823-5204
KAYLA DEAN THURMAN CPNP
Nurse Practitioner (Pediatrics)
509 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 823-5204

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 Charles Holland's NPI number?

The NPI number for Charles Holland is 1285657916. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Charles Holland located?

Charles Holland practices at 509 Brookman Dr, Brookhaven, MS 39601. The listed phone number is (601) 823-5204.

What is Charles Holland's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Charles Holland enrolled in Medicare?

Yes. Charles Holland is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Holland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Holland reassigns Medicare benefits to 2 organizations: Kdmc Physician Clinics LLC (Brookhaven, MS) and Kings Daughters Medical Center (Brookhaven, MS). Each 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 Charles Holland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Holland accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Charles Holland 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 Charles Holland was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.