CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) – Family Nurse Practitioner, NPI 1407836802

Family Nurse Practitioner

CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) is a healthcare provider. based in Elberta, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials C.R.N.P.. They hold a License No. 1023686 (AL). The NPI Number for CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) is 1407836802

Main info

Female

Sole Proprietor

41 Years Of Experience

Accepts Medicare Assignment

Name

CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.)

NPI

1407836802

Phone

(251) 986-7301

Address

24980 STATE ST

Enumeration Date

20 January 2006

Last Update Date

20 February 2020

Doctor Profile

Medical School Name

UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE

Secondary Phone

2519867301

Graduation Year

1985 (41 years ago)

PAC ID

6406972876

Group Practice PAC ID

6901874403

Professional Enrollment ID

I20100923000624

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.)

Store, Forestry Trunk Road, Kananaskis Improvement District, Alberta, Canada
PO DRAWER 519
ELBERTA, AL 365302573
Phone: (251) 986-7301
Fax: (251) 986-5927
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($148).

Total Amount

$197

General + Research + Ownership

Payments

Total payment records

General Amount

$197

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
GlaxoSmithKline, LLC.	$148
PFIZER INC.	$21
ABBVIE INC.	$15
Paratek Pharmaceuticals, Inc.	$13

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20100923000624	I	Nurse Practitioner	AL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6901874403View full group profile

Name	Specialty	State
DR. TERRY A KURTTS (M.D.)	Family Practice	AL
LACEY B SANTA CRUZ (CRNP)	Nurse Practitioner	AL
MR. CADEN HORN	Nurse Practitioner	AL
LINDSAY PIEPER (CRNP)	Nurse Practitioner	AL
MICHAEL MARFICE (MD)	Family Practice	AL
MADILYN E TOMASO (MD)	Family Practice	AL
MRS. DONNA MCINNIS BECK (CRNP)	Nurse Practitioner	AL
MS. DEBRA LYNN RUSSELL (CRNP)	Nurse Practitioner	AL
DR. ROBERT L ROE (M.D.)	-	AL

Reviews

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Frequently asked questions

What is the standard ID for CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) in the U.S.?

In the U.S., CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) is identified by NPI 1407836802.

Is CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) currently accepting referrals based on NPI status?

Registry metadata lists CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) as active.

What does the directory say CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) does?

Insurance directories may phrase it differently, but here CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.)?

CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.) is associated with Elberta, Alabama in the same public data insurers reference.

Can I export CAROLYN FAIRCLOTH HOLMAN (C.R.N.P.)'s record?

You can download the official NPPES record; we summarize key fields for readability.