Individual provider Active NPI

Gregory F Holley, PA

  • Physician Assistant
  • Gunnison, CO
National Provider Identifier
1154407823
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1940 Issued in CO
Practice address
707 North Taylor
Gunnison, CO 81230
Phone
(970) 641-1399
Fax
(970) 641-9017
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1940 CO Primary

Addresses

Primary practice location

707 North Taylor
Gunnison, CO 81230

Mailing address

1830 Blake Ave
Glenwood Springs, CO 81601-4275
Phone (970) 945-8503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050927000561 CO Practitioner - Physician Assistant 8628002813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533

350 Market St
Unit 201
Basalt, CO 81621-7403
Phone (970) 945-6533

978 Euclid Ave
Carbondale, CO 81623-1820
Phone (970) 963-3350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1940COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Feb 1, 2025 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 7, 2018 Accepting new patients
Valley View Hospital Association CurrentSince Feb 1, 2025 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 7, 2018 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Jay M. Wolkov DO PC Past Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

350 Market St
Basalt, CO 81621
Phone (970) 384-6770

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

Interoperability endpoints

  • Direct secure messaging: gregory.holley.1@9028.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1154407823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503",
            "fax_number": "970-947-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 NORTH TAYLOR",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "81230",
            "telephone_number": "970-641-1399",
            "fax_number": "970-641-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.