Doctor profile · Federal record

Dr. Penny Holley, FNP

Family Nurse Practitioner (CMS: Nurse Practitioner) · Southaven, MS

  • NPI 1013524495
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3964 Goodman RD E Ste 128-129
Southaven, MS 386728761
(662) 655-0456
fax (662) 655-0457

Credentials & registration

NPPES · NUCC
NPI registered
September 2020 — 6 yrs on file
Profile last updated
March 1, 2023
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Mississippi #868493

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1013524495. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$150
Transactions
6
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
AstraZeneca Pharmaceuticals Lp 1 $43.03
Abbvie INC. 1 $27.18
Salix Pharmaceuticals, A Division of Bausch Health US, LLC 1 $26.88
Amgen INC. 1 $21.13
Novo Nordisk INC 1 $17.04
Lilly USA, LLC 1 $14.40

By nature of payment

Food and Beverage
$150

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
323
Patients
183
Total drug cost
$3,707
Drug Type Claims Patients Total cost
Azithromycin Generic 48 41 $267
Zolpidem Tartrate Generic 28 0 $99
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 27 25 $282
Omeprazole Generic 26 14 $388
Atorvastatin Calcium Generic 25 14 $152
Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) Brand 20 18 $322
Rosuvastatin Calcium Generic 20 12 $294
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 18 16 $558
Fluconazole Generic 18 16 $95
Doxycycline Hyclate Generic 17 16 $253

Frequently asked questions

Auto-generated from federal data
What is Dr. Penny Holley's medical specialty?
Dr. Penny Holley practices Family Nurse Practitioner in Southaven, MS.
Where does Dr. Penny Holley practice?
Dr. Penny Holley practices at 3964 Goodman RD E Ste 128-129, Southaven, MS 386728761. Office phone: 6626550456.
What is Dr. Penny Holley's NPI?
Dr. Penny Holley's National Provider Identifier (NPI) is 1013524495, issued by NPPES.
Does Dr. Penny Holley accept Medicare assignment?
Yes. Dr. Penny Holley accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.