MRS. ADDIE HOLLEMAN HOLCOMB NP
NPI 1942840368
Nurse Practitioner - Gerontology in Gulfport, MS

Q: What is Addie Holcomb's NPI number?

The NPI number for Addie Holcomb is 1942840368. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Q: What is Addie Holcomb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Addie Holcomb was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2020PECOS EnrolledAccepts Medicare Assignment

4500 13TH ST, GULFPORT, MS 39501(228) 575-1800(228) 865-3038 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Sep 9, 2020, Jan 14, 2020 (3 updates tracked since 2020).

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About Mrs. Addie Holleman Holcomb Np NPPES

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

MRS. ADDIE HOLLEMAN HOLCOMB NP (NPI 1942840368) is an individual gerontology provider in Gulfport, Mississippi, licensed in Mississippi (903801) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942840368

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. ADDIE HOLLEMAN HOLCOMBCredential: NP

Location Address4500 13TH STGulfport, MS 39501-2515

Mailing Address4500 13th StGulfport, MS 39501-2515 · (228) 867-4000

Phone(228) 575-1800

Fax(228) 865-3038

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 14, 2020

Last NPPES UpdateMay 27, 20253 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1942840368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MS · 903801

Also ListedRegistered NurseTaxonomy 163W00000X · License 886309 (MS)

4500 13TH ST, Gulfport, MS 39501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.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

Mrs. Addie Holleman Holcomb Np 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 ID9931538121

PECOS Enrollment IDI20200409002307

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.

Hospital Affiliations CMS Care Compare 2

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

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250007

Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County

Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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.

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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.

HEATHER LYN JEFFREY

Nurse Practitioner