Individual provider Active NPI

Michael C Hollie, M.D.

  • Allergy & Immunology Physician
  • Chattanooga, TN
National Provider Identifier
1245279090
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD017371 Issued in TN
Practice address
1720 Gunbarrel Rd
Suite 400
Chattanooga, TN 37421-3192
Phone
(423) 499-4100
Fax
(423) 499-1945
NPI assigned
Jun 6, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 038252 GA
Allergy & Immunology Physician 207K00000X MD017371 TN Primary

Addresses

Primary practice location

1720 Gunbarrel Rd
Suite 400
Chattanooga, TN 37421-3192

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Other practice location 1

1011 Professional Blvd
Dalton, GA 30720-2506
Phone (706) 217-6950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101012000709 TN Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4385638436 Reassigns benefits to 1 organization
I20120508000067 GA Practitioner - Allergy/Immunology 4385638436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Loma Linda University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Medical Group, PCGroup PAC ID 2668377391, 122 clinicians

Practice addresses (Care Compare)

1011 Professional Blvd
Dalton, GA 30720-2506
Phone (706) 217-6950

1720 Gunbarrel Rd
Suite 400
Chattanooga, TN 37421-4144
Phone (423) 499-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD017371TNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC Allergy & Immunology CurrentSince Oct 1, 2015 Accepting new patients
John W. Looper Jr. Speech & Hearing Clinic CurrentSince Dec 4, 2017 Accepting new patients
Galen Medical Group PC PastSince Jul 24, 2022 Accepting new patients

Locations

1011 Professional Blvd
Dalton, GA 30720
Phone (706) 217-6950

101 Crye Leike Dr
Ft Oglethorpe, GA 30742
Phone (706) 648-4336

4700 Battlefield Pkwy
Ste 300
Ringgold, GA 30736
Phone (706) 406-3900

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

1720 Gunbarrel Rd
#S400
Chattanooga, TN 37421

2200 E 3rd St
Ste 200
Chattanooga, TN 37404
Phone (423) 643-2500

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

4980 Alpha Ln
Hixson, TN 37343
Phone (423) 870-2450

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.

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1245279090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL RD",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213192",
            "telephone_number": "423-499-4100",
            "fax_number": "423-499-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Professional Blvd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307202506",
            "country_code": "US",
            "telephone_number": "706-217-6950",
            "fax_number": "706-217-6967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "038252",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD017371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.