Provider Demographics
NPI:1851398077
Name:HOLMES, FRANK CLARKE IV (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CLARKE
Last Name:HOLMES
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2986 POLO CLUB RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4385
Mailing Address - Country:US
Mailing Address - Phone:615-522-4630
Mailing Address - Fax:
Practice Address - Street 1:345 23RD AVE N
Practice Address - Street 2:SUITE 301
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1513
Practice Address - Country:US
Practice Address - Phone:615-329-2520
Practice Address - Fax:615-329-3530
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS17920207QS0010X
DCMD035836207QS0010X
TN36919207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
01298516OtherAMERIGROUP
DC037664500Medicaid
4235315OtherBCBS OF TN
621863192OtherCIGNA
621863192OtherSIGNATURE HEALTH ALLIANCE/HEALTH SPRING
MS200046288OtherRR MEDICARE
MD410089100Medicaid
TN1514731OtherMEDICARE
TN1514731Medicaid
621863192OtherGEHA/PPO USA
621863192OtherUNITED HEALTH CARE
MS06400066Medicaid
1298516OtherAMERIVANTAGE
TN7803709OtherAETNA
6031659OtherHEALTHSPRING
944080OtherUSA MANAGED CARE
TN0116OtherAMERICHOICE
TN0116OtherAMERICHOICE
TN1514731OtherMEDICARE
MD410089100Medicaid