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KIYO PHENIQUE HOLMES FNP-C
NPI 1770864613
Nurse Practitioner - Family in Greenville, MS

Active since September 06, 2011PECOS Enrolled
2363 HIGHWAY 1 S, GREENVILLE, MS 38701(662) 334-1253 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2019, Mar 17, 2018, Nov 8, 2017 (3 updates tracked since 2017).

About Kiyo Phenique Holmes Fnp-c NPPES

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

KIYO PHENIQUE HOLMES FNP-C (NPI 1770864613) is an individual family provider in Greenville, Mississippi, licensed in Mississippi (R872814) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1770864613
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIYO PHENIQUE HOLMESCredential: FNP-C
Location Address2363 HIGHWAY 1 SGreenville, MS 38701-8337
Mailing Address30 Burton Hills Blvd, Ste 175Nashville, TN 37215-6403 · (615) 988-2014 · Fax (615) 208-1303
Phone(662) 334-1253
Sole ProprietorNo
Enumeration DateSeptember 6, 2011
Last NPPES UpdateOctober 24, 20193 updates tracked since enumeration
✔ NPI 1770864613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R872814
2363 HIGHWAY 1 S, Greenville, MS 38701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11421 E Union StGreenville, MS 38703-3247 · Phone (662) 335-0183

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)

Kiyo Phenique Holmes Fnp-c 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

8

Medicare enrollment records show Kiyo Holmes reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delta Medical Group
8.0 mi
Emergency Medicine
1693 FAIRGROUNDS RD
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 123 clinicians in this Medicare group
NPI 1790701134 (662) 725-2749
Uppal Medical Center LLC
9.9 mi
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 clinicians in this Medicare group
NPI 1558927905 (662) 577-6673
App Of Mississippi Ed, LLC
87 mi
Emergency Medicine
1850 CHADWICK DR
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 187 clinicians in this Medicare group
NPI 1730687740 (629) 203-7320
Fast Pace Mississippi, PLLC
160 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Advantage Family Care Inc
227 mi
Urgent Care
202 COX CREEK PKWY
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
NPI 1023447943 (256) 349-5496
Upperline Healthcare, PC
251 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Mississippi enrollment
  • 207 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Moore Emergency Group, LLC
305 mi
Emergency Medicine
849 S THREE NOTCH ST
Andalusia, AL 36420
  • Reassigned Medicare billing, Alabama enrollment
  • 40 clinicians in this Medicare group
NPI 1013415769 (334) 222-8466
Hospital Physician Services - Southeast Professional Corporation
428 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Alabama enrollment
  • 428 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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

Areas of Expertise CMS Part B claims 2

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38701 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.

DELTA HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2363 HIGHWAY 1 S
GREENVILLE, MS 38701
Washington County (662) 334-1253
DR. ARVIS HAWKINS M D
Family Medicine
2363 HIGHWAY 1 S
GREENVILLE, MS 38701
Washington County (662) 334-1253
MS. NADIA NICOLE BETHLEY PH.D.
Psychologist (Clinical)
2363 HIGHWAY 1 S
GREENVILLE, MS 38701
Washington County (662) 334-1253
GREENVILLE PRIMARY CARE II
Family Medicine
2363 HIGHWAY 1 S
GREENVILLE, MS 38701
Washington County (662) 334-1253
BEVERLY BURNS LIVINGSTON FNP-C
Nurse Practitioner (Family)
2363 HIGHWAY 1 S
GREENVILLE, MS 38701
Washington County (662) 334-1253

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 Kiyo Holmes's NPI number?

The NPI number for Kiyo Holmes is 1770864613. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Kiyo Holmes located?

Kiyo Holmes practices at 2363 Highway 1 S, Greenville, MS 38701. The listed phone number is (662) 334-1253.

What is Kiyo Holmes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kiyo Holmes enrolled in Medicare?

Yes. Kiyo Holmes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kiyo Holmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiyo Holmes reassigns Medicare benefits to 8 organizations: Delta Medical Group (Greenville, MS), Uppal Medical Center LLC (Greenville, MS), App Of Mississippi Ed, LLC (Jackson, MS), Fast Pace Mississippi, PLLC (Ripley, MS), Advantage Family Care Inc (Florence, AL) and 3 more organizations, listed in the Medicare section above. 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 Kiyo Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiyo Holmes accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Kiyo Holmes 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 Kiyo Holmes was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.