Individual provider Active NPI

Jeffry M Holweger, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingsport, TN
National Provider Identifier
1033104609
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9215 Issued in TN
Practice address
4128 Fort Henry Dr # D-226
Kingsport, TN 37663-2260
Phone
(423) 426-2121
NPI assigned
Sep 20, 2005
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9215 TN Primary

Addresses

Primary practice location

4128 Fort Henry Dr # D-226
Kingsport, TN 37663-2260

Mailing address

4128 Fort Henry Dr # D-226
Kingsport, TN 37663-2260
Phone (423) 426-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9215TNMDPharmacotherapy Pharmacist
281822MAMDNephrology Physician
2817NCMDSpeech-Language Pathologist
3388SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System CurrentSince Oct 22, 2007 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Paragon Anesthesia PC Anesthesiology CurrentSince Sep 29, 2022 Accepting new patients
Greenville Health System Current Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Sep 29, 2022 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Anesthesiology CurrentSince May 23, 2024 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Anesthesiology PastSince Oct 1, 2012 Accepting new patients
Prisma Health-Upstate Past Accepting new patients
Anesthesiology Consultants Exchange, PC Anesthesiology Past Accepting new patients
Alta Anesthesia Associates of Georgia, PC Anesthesiology PastSince Nov 11, 2012 Accepting new patients
Jellico Community Hospital, Inc Past Accepting new patients
Covenant Anesthesia Group, PC Anesthesiology Past Accepting new patients
Anesthesia and Pain Consultants,P.C. Anesthesiology PastSince Mar 1, 2000 Accepting new patients
Cleveland Anesthesiologists Inc Anesthesiology PastSince Oct 8, 2012 Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

10415 Wallace Alley St
Kingsport, TN 37663
Phone 4233900451 ext. 00451

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1033104609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 FORT HENRY DR # D-226",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632260",
            "telephone_number": "423-426-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 FORT HENRY DR # D-226",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632260",
            "telephone_number": "423-426-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLWEGER",
        "first_name": "JEFFRY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.