MACKENZIE CHURCH HOLM PA-C
NPI 1720618135
Physician Assistant in Belmont, NC

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
1220 SPRUCE ST, BELMONT, NC 28012(704) 825-5333(704) 825-1751 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Jul 20, 2022, Jul 13, 2022 and 2 more (5 updates tracked since 2020).

About Mackenzie Church Holm Pa-c NPPES

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

MACKENZIE CHURCH HOLM PA-C (NPI 1720618135) is an individual physician assistant in Belmont, North Carolina, licensed in North Carolina (0010-10437) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains 16 additional practice locations.

NPPES Registry Identity

NPI1720618135
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE CHURCH HOLMCredential: PA-C
Location Address1220 SPRUCE STBelmont, NC 28012-3370
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 671-5343 · Fax (704) 671-5308
Fax(704) 825-1751
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2020
Last NPPES UpdateNovember 15, 20245 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1720618135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-10437
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1220 SPRUCE ST, Belmont, NC 28012

Secondary Practice Locations 16

Location 1700 N Main StStanley, NC 28164-1438 · Phone (704) 263-8945
Location 29310 Strause Dr Ste ACharlotte, NC 28214-5054 · Phone (704) 398-6488
Location 31381 E Garrison BlvdGastonia, NC 28054-5127 · Phone (704) 861-2273
Location 4519 Nautical Dr Ste 100AClover, SC 29710-8113 · Phone (803) 621-2858
Location 5159 E Dallas RdStanley, NC 28164-2052 · Phone (704) 263-0300
Location 6660 Summit Crossing Pl Ste 301Gastonia, NC 28054-2181 · Phone (704) 854-8799
Location 73326 Bessemer City RdBessemer City, NC 28016-8781 · Phone (704) 629-3206
Location 84325 South New Hope Road, Suite AGastonia, NC 28056 · Phone (704) 825-4750
Location 9520 N Dekalb St Ste BShelby, NC 28150-4191 · Phone (704) 484-8001
Location 10105 Elm Street, McAdenvilleNC, NC 28101 · Phone (704) 824-5323
Location 11910 E Church St Ste ACherryville, NC 28021-2968 · Phone (704) 445-0422
Location 122711 X Ray Dr Ste 3106Gastonia, NC 28054-7491 · Phone (704) 834-2420
Location 13214 Cleveland AveKings Mountain, NC 28086-3106 · Phone (704) 730-1228
Location 14600 W Trade St Ste ADallas, NC 28034-1543 · Phone (980) 834-9130
Location 151895 Hoffman Rd Ste AGastonia, NC 28054-6557 · Phone (704) 865-1749
Location 161075 E Hudson BlvdGastonia, NC 28054-1694 · Phone (866) 389-2727

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mackenzie Church Holm Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012320294
PECOS Enrollment IDI20210107000564
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28012 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Physician Assistant
1220 SPRUCE ST
BELMONT, NC 28012
Nurse Practitioner (Family)
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Family Medicine
1220 SPRUCE ST
BELMONT, NC 28012
Physician Assistant
1220 SPRUCE ST
BELMONT, NC 28012

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 Mackenzie Holm's NPI number?

The NPI number for Mackenzie Holm is 1720618135. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Mackenzie Holm located?

Mackenzie Holm practices at 1220 Spruce St, Belmont, NC 28012. The listed phone number is (704) 825-5333.

What is Mackenzie Holm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mackenzie Holm enrolled in Medicare?

Yes. Mackenzie Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mackenzie Holm accept?

Health plans from Blue Cross and Blue Shield of NC list Mackenzie Holm 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.

Is Mackenzie Holm affiliated with any hospitals?

According to CMS data, Mackenzie Holm is affiliated with Caromont Regional Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Mackenzie Holm was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.