DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) – Family Medicine Physician, NPI 1568698264

DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) is a healthcare provider. based in Portsmouth, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2018-01410 (NC). The NPI Number for DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) is 1568698264

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.)
NPI
1568698264
Phone
(757) 953-7001
Address
620 John Paul Jones Cir
Enumeration Date
9 June 2009
Last Update Date
1 June 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9103465016
Graduation Year
2009 (17 years ago)
PAC ID
1052559184
Group Practice PAC ID
4587569256
Professional Enrollment ID
I20180727000658
Address ID
NC285463219JA31XXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.)

  • 620 John Paul Jones Cir

    Portsmouth, VA 237082111

    Phone: (757) 953-7001

    Type: Location

  • 31, Office Park Drive, Country Club Hills, Jacksonville, Onslow County, North Carolina, 28546, United States

    JACKSONVILLE, NC 285463219

    Phone: (910) 346-5016

    Fax: (910) 346-4561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-03-06 • Largest payer in this snapshot: Novo Nordisk Inc ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$20
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: 2018-07-27

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180727000658IFamily PracticeNCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes553189$0
99213Established patient office or other outpatient visit, 20-29 minutes8356$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage3838$0
G0008Administration of influenza virus vaccine3636$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 23708)

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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: 4587569256View full group profile
NameSpecialtyState
Pulmonary DiseaseNC
General SurgeryNC
Physician AssistantNC
Otolaryngology, Sleep MedicineWI
-NC
Physician AssistantMI
Physician AssistantUT
Family Practice, Geriatric MedicineNC
D E R M A T O L O G YNC
Qualified AudiologistMD

Reviews

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Frequently asked questions

Can I verify DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) with an NPI only?
You can start verification with NPI 1568698264 for DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.), then check state licensing separately.
Is DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) still practicing?
DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.)?
For research purposes, treat DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.) serve?
DR. SEQUIA ANNISE HOLLAND-ELLIS (M.D.)'s listing highlights Portsmouth, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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