Holly Hagood, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT016997 Issued in GA

Practice address

1690 Rose Moss CT SE
Smyrna, GA 30082-3969

Phone

(301) 275-4057

Fax

(423) 702-4493

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Hagood Keyes Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southeastern Swallowing Diagnostics

  • Health Service Clinic/Center
  • Ooltewah, TN
  • NPI 1205377348

  GA, Geriatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1124882915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9504 GEORGE WILLIAMS RD APT SUITE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379224211",
            "telephone_number": "865-385-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 ROSE MOSS CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823969",
            "telephone_number": "301-275-4057",
            "fax_number": "423-702-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "HOLLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT016997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "KEYES",
            "middle_name": "HAGOOD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• H & G Wealth Management LLC
• Alexa Hackenburg, BCBA
• Olivia Haeberle, RD/LD
• Joel Hager, DPT
• Carlton D Haggard, LCSW
• D. Michael Haley, D.M.D.
• Tai Nichole Hall
• Patrick Farrell Hammen, M.D.
• James Glenn Hammons, LCSW
• Mary Faye Hammons, L.C.S.W.

• Geriatric Physical Therapist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Geriatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.