Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Ridge Healthcare PA

Organization Family Medicine Physician · NPI 1558544957

Holly Ridge Healthcare PA is a Family Medicine Physician in Holly Ridge, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

119 Holly St
Holly Ridge, NC 28445-7898
Phone: (910) 329-1707
Fax: (910) 329-1716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 29495 (NC)

Record details

NPI number1558544957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Pridgen — Medical Director · (910) 329-1707
NPI enumeratedDecember 10, 2007
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address119 Holly St, Holly Ridge, NC 28445-7898

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