LOGAN HOLMAN – Pediatrics Physician, NPI 1821593393
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LOGAN HOLMAN
PO BOX 746450
ATLANTA, GA 303746450
Phone: (251) 434-3626
Fax: (251) 445-2464
Type: Mailing
1601 CENTER ST
MOBILE, AL 366041541
Phone: (251) 410-5437
Fax: (251) 434-3802
Type: Location
Southwest 87th Terrace, Timberlake, Cooper City, Broward County, Florida, 33328, United States
COOPER CITY, FL 333282836
Phone:
Type: Mailing
University of South Alabama Medical Center, 2451, Petit Avenue, Crichton, Mobile, Mobile County, Alabama, 36617, United States
MOBILE, AL 366172300
Phone: (251) 434-3915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210816000891 | I | Pediatric Medicine | AL | TBD |
| I20211118000641 | I | Pediatric Medicine | UT | 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.
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 30374)
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