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

Justin Philip Hollm, MD

Individual provider Emergency Medicine Physician · NPI 1053761452

Justin Philip Hollm, MD is an Emergency Medicine in Columbia, South Carolina. Qualified in 2016, 10 years ago. Practices with Self Medical Group, a 396-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14 Medical Park Ste 350 Emergency Medicine Dept
Columbia, SC 29203
Phone: (803) 434-3790
Fax: (803) 434-3946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence LL39685 (SC)

Record details

NPI number1053761452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESJune 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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