Prishal Chetty Holloway, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

LL29859 Issued in SC

Practice address

1228 Harden St
Columbia, SC 29204-1800

Phone

(803) 733-5969

Fax

(803) 748-9953

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4
• Direct secure messaging: prishal.holloway.1@10781.direct.athenahealth.com

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

• Eau Claire Cooperative Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1346249430

  Pediatrics

  Medicare reassignment NPD
• Eau Claire Cooperative Health Center ,Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1588375653
  NPD
• Eau Claire Cooperative Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Winnsboro, SC
  • NPI 1003113168
  NPD
• Pediatrics of Newberry, LLC

  • Pediatrics Physician
  • Newberry, SC
  • NPI 1659400851
  NPD (past)
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1558576280
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1104025782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-733-5969",
            "fax_number": "803-748-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-733-5969",
            "fax_number": "803-748-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "PRISHAL",
        "middle_name": "CHETTY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "SC",
            "license": "LL29859",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL29859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Courteney Hollis, LMT
• Justin Philip Hollm, M.D.
• Amanda Gail Holloman
• Ann Holloman
• Jeffrey P Holloway, M.D.
• Holly May LPC LLC
• Matthew A Holman, MD
• Tanajya Holman
• Holmes Health Care, LLC
• Dominique Holmes, APRN

• Pediatrics Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.