HOLM MEDICAL CLINIC INC
NPI 1427799535
Family Medicine in Plymouth, IN

Q: What is Holm Medical Clinic Inc's NPI number?

The NPI number for Holm Medical Clinic Inc is 1427799535. It was assigned to this organization in the NPPES registry on April 5, 2022.

Q: What is Holm Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 05, 2022

2855 MILLER DR STE 205, PLYMOUTH, IN 46563(574) 286-0200 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2022, Apr 8, 2022 (2 updates tracked since 2022).

On this page

About Holm Medical Clinic Inc NPPES

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

HOLM MEDICAL CLINIC INC (NPI 1427799535) is a healthcare organization registered as a family medicine in Plymouth, Indiana and active in the NPI registry since April 2022. The organization lists Byron M Holm, President, as its authorized official.

NPPES Registry Identity

NPI1427799535

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHOLM MEDICAL CLINIC INC

Location Address2855 MILLER DR STE 205Plymouth, IN 46563-8093

Mailing Address2855 Miller Drive, Ste 205Plymouth, IN 46563-8093 · (574) 780-3312 · Fax (888) 247-3121

Phone(574) 286-0200

Organization SubpartNo

Authorized OfficialByron M HolmPresident · (574) 286-0200

Enumeration DateApril 5, 2022

Last NPPES UpdateMay 3, 20222 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1427799535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2855 MILLER DR STE 205, Plymouth, IN 46563

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holm Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Holm Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Byron Holm, MD

Family Practice

NPI 1538154018

2855 MILLER DR STE 205
Plymouth, IN 46563

(574) 936-7777

✔ PECOS✔ Accepts MedicareSame address

Lisa Jones, NP

Nurse Practitioner

NPI 1740275197

2855 MILLER DR STE 205
Plymouth, IN 46563

(574) 274-6984

✔ PECOS✔ Accepts MedicareSame address

Mandie Maddox, FNP

Nurse Practitioner

NPI 1861232142

2855 MILLER DR STE 205
Plymouth, IN 46563

(574) 941-1080

✔ PECOS✔ Accepts MedicareSame address

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

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 Holm Medical Clinic Inc's NPI number?

The NPI number for Holm Medical Clinic Inc is 1427799535. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Holm Medical Clinic Inc located?

Holm Medical Clinic Inc is located at 2855 Miller Dr Ste 205, Plymouth, IN 46563. The listed phone number is (574) 286-0200.

What is Holm Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Holm Medical Clinic Inc enrolled in Medicare?

Yes. Holm Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holm Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Holm Medical Clinic Inc, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holm Medical Clinic Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Holm Medical Clinic Inc 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 Holm Medical Clinic Inc was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.