TYLER ELLIOTT HOLM
NPI 1932804820
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since April 03, 2023PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Elliott Holm NPPES

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

TYLER ELLIOTT HOLM (NPI 1932804820) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932804820
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER ELLIOTT HOLM
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedMarch 27, 2023
NPI 1932804820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Elliott Holm 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.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Tyler Holm's NPI number?

The NPI number for Tyler Holm is 1932804820. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Tyler Holm located?

Tyler Holm practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Tyler Holm's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Holm enrolled in Medicare?

Yes. Tyler Holm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Holm was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.