DANIEL JAMES HOLLOWAY
NPI 1972051522
Nurse Practitioner - Psychiatric/Mental Health in Ridgeland, MS

Active since September 13, 2016Opted out of Medicare · through Nov 11, 2027
201 NORTHLAKE AVE STE 207, RIDGELAND, MS 39157(601) 366-4696 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Sep 13, 2016 (2 updates tracked since 2016).

About Daniel James Holloway NPPES

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

DANIEL JAMES HOLLOWAY (NPI 1972051522) is an individual psychiatric/mental health provider in Ridgeland, Mississippi, licensed in Mississippi (901686) and active in the NPI registry since September 2016. He has opted out of Medicare through November 11, 2027.

NPPES Registry Identity

NPI1972051522
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDANIEL JAMES HOLLOWAY
Location Address201 NORTHLAKE AVE STE 207Ridgeland, MS 39157-1717
Mailing Address201 Northlake Ave Ste 207Ridgeland, MS 39157-1717 · (601) 366-4696
Sole ProprietorNo
Enumeration DateSeptember 13, 2016
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1972051522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · 901686
201 NORTHLAKE AVE STE 207, Ridgeland, MS 39157

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Daniel James Holloway has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 11, 2021 through November 11, 2027.

Opt-Out Effective DateNovember 11, 2021
Opt-Out In Effect ThroughNovember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
201 NORTHLAKE AVE STE 207
RIDGELAND, MS 39157
Psychiatry & Neurology (Psychiatry)
201 NORTHLAKE AVE STE 207
RIDGELAND, MS 39157

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 Daniel Holloway's NPI number?

The NPI number for Daniel Holloway is 1972051522. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Daniel Holloway located?

Daniel Holloway practices at 201 Northlake Ave Ste 207, Ridgeland, MS 39157. The listed phone number is (601) 366-4696.

What is Daniel Holloway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Daniel Holloway enrolled in Medicare?

No. Daniel Holloway has opted out of Medicare through November 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Daniel Holloway accept?

Health plans from Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Daniel Holloway 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 Daniel Holloway was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.