Individual provider Active NPI

Holly Rebecca Norris

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1043028905
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP294478 Issued in GA
Practice address
6501 Peake Rd Ste 1100
Macon, GA 31210-8053
Phone
(478) 338-9140
Fax
(478) 203-8673
NPI assigned
Dec 24, 2024
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP294478 GA Primary

Addresses

Primary practice location

6501 Peake Rd Ste 1100
Macon, GA 31210-8053

Mailing address

6501 Peake Rd Ste 1100
Macon, GA 31210-8053
Phone (478) 338-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701000197 GA Practitioner - Nurse Practitioner 2264945583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
315 Internal Medicine LLCGroup PAC ID 8729563952, 2 clinicians

Practice addresses (Care Compare)

6501 Peake Rd
Suite 1100
Macon, GA 31210-8053
Phone (478) 475-5133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP294478GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jun 18, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Jun 18, 2025 Accepting new patients

Locations

6021 Watson Blvd
Byron, GA 31008
Phone (478) 956-5002

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDABED/Endpoint/HDABED

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1043028905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD STE 1100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108053",
            "telephone_number": "478-338-9140",
            "fax_number": "478-203-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD STE 1100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108053",
            "telephone_number": "478-338-9140",
            "fax_number": "478-203-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "HOLLY",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP294478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.