Jeremy Steven Holloway, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN014627 Issued in GA

Practice address

84 Helen Hwy
Cleveland, GA 30528-7804

Phone

(706) 865-3174

NPI assigned

Aug 11, 2013

Last updated

Aug 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376179200000",
    "number": "1235562554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305287804",
            "telephone_number": "706-865-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HELEN HWY",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305287804",
            "telephone_number": "706-865-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JEREMY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gideon Hendrix, LPC
• Madisan Mae Herslebs, MS, CCC-SLP
• Heather Lynn Higgins, FNP-C
• Corey Franklin Hill, DPT
• Clark Holloman
• Kendyl Brock Hunter, OT
• Tristen Hyatt, LPC, NCC,
• Independent Physical Therapy of Ga LLC (Benchmark PT)
• Ingles Markets Inc (Ingles Pharmacy #489)
• J H Telfords Sons Inc (Griffin Drug Store)

• Dentist in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; 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.