Holloway Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOLLOWAY INTERNAL MEDICINE

Practice address

415 E 4TH Ave Ste B
Cordele, GA 31015-0614

Phone

(229) 276-2190

Fax

(229) 276-3639

NPI assigned

Jul 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin M Holloway, MDNPI 1114107810

Title

Organizer

Phone

(229) 276-2190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin M Holloway, MD

  • Internal Medicine Physician
  • Cordele, GA
  • NPI 1114107810

  GA, Internal Medicine

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1023908977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 QUAIL RUN",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310152096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 4TH AVE STE B",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310150614",
            "telephone_number": "229-276-2190",
            "fax_number": "229-276-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOWAY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "229-276-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fawzi M Himada, M.D.
• Lauren Melcher Hinnant, FNP-C
• Lacey Patrice Hitchings, OTR/L
• Lori C Hobbs, FNP
• Kanisha Hobgood
• Kevin M Holloway, MD
• Cynthia Holt, RN
• Jacqueline Brewer Hopkins, LPC
• Russ Daniel Hopper, MD
• Nedra Houser

• All providers in Cordele, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.