Jaycelyn Holland

Pediatric Emergency Medicine | Female

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Complete Profile:

Jaycelyn Holland basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Jaycelyn Holland
Gender :	Female

Business Address:

Jaycelyn Holland address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1600 7th Ave S Birmingham, AL, 35233-1711 United States
Phone Number :	205-638-9587

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1679992630
NPI Entity Type :	Individual
First Enrolment Date :	07 Apr, 2014
Last Updated On :	24 Apr, 2021

Medicare Participation:

Jaycelyn Holland participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3072883099
Medicare Enrollment ID :	I20210716002794
Primary Specialty :	Emergency Medicine
Medical School :	Vanderbilt University School Of Medicine
Graduation Year :	2014
Accepts Medicare?	Yes. Jaycelyn Holland accepts medicare insurance.

Group Practice Association:

Jaycelyn Holland is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jaycelyn Holland is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Alabama Health Services Foundation, Pc	1951213107	2171	1600 7th Ave S Birmingham, AL - 352331711 Ph: 2059759925	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaycelyn Holland are as mentioned. Primary taxonomy code for Jaycelyn Holland is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	0000055985	TN
208000000X	Pediatrics	No	55985	TN
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	MD.42263	AL

Other Practice Locations:

Practice Address	City, State	Phone Number
3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232-0005 United States	NASHVILLE, TN	615-936-2000
2200 CHILDRENS WAY, NASHVILLE, TN, 37232-0005 United States	NASHVILLE, TN	615-322-0348

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1600 7th Ave S Birmingham, AL, 35233-1711 United States

Business Location:

Patients can refer following map for directions to Jaycelyn Holland practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.