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HOLLAND M ADDISON M.D.
NPI 1396816989
Internal Medicine - Geriatric Medicine in Jackson, MS

Active since November 13, 2006PECOS Enrolled
4045 EASTWOOD DR, JACKSON, MS 39211(601) 352-2273 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2021, Mar 5, 2020 (2 updates tracked since 2020).

About Holland M Addison M.d. NPPES

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

HOLLAND M ADDISON M.D. (NPI 1396816989) is an individual geriatric medicine provider in Jackson, Mississippi, licensed in Mississippi (08984) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396816989
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameHOLLAND M ADDISONCredential: M.D.
Location Address4045 EASTWOOD DRJackson, MS 39211-6442
Mailing Address4045 Eastwood DrJackson, MS 39211-6442 · (601) 352-2273
Phone(601) 352-2273
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1396816989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in MS · 08984
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
4045 EASTWOOD DR, Jackson, MS 39211
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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)

Holland M Addison 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 Reassignment

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

Mississippi Baptist Medical Center, Inc.
2.7 mi
Neurology
1225 N STATE ST
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • 154 clinicians in this Medicare group
NPI 1467589556 (601) 968-1362

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 39211 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
$159.18 typical visit price
range $51.65 – $159.18
Typical copayment $39.79 (range $12.91 – $39.79)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims42 services$7.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Holland Addison's NPI number?

The NPI number for Holland Addison is 1396816989. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Holland Addison located?

Holland Addison practices at 4045 Eastwood Dr, Jackson, MS 39211. The listed phone number is (601) 352-2273.

What is Holland Addison's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Holland Addison enrolled in Medicare?

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

Which organization bills Medicare for Holland Addison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holland Addison reassigns Medicare benefits to Mississippi Baptist Medical Center, Inc. (Jackson, MS). 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 Holland Addison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holland Addison was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.