Holly M Mayer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA373 Issued in KY

Practice address

1150 Lexington Rd Ste 102
Georgetown, KY 40324

Phone

(502) 570-0015

Fax

(502) 570-0016

NPI assigned

May 24, 2007

Last updated

Aug 20, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluegrass Bariatric Surgical Associates, PLLC

  • Surgery Physician
  • Lexington, KY
  • NPI 1902072291

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1245441179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 LEXINGTON RD STE 102",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248301",
            "telephone_number": "502-570-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 LEXINGTON RD STE 102",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "502-570-0015",
            "fax_number": "502-570-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 Lexington Rd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249672",
            "country_code": "US",
            "telephone_number": "502-867-6744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "HOLLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Martin
• Robert Craig Martin, M.D.
• Matthew C Birdwhistell DO LLC
• Heather Jan Matthies
• Cheryl Jean Maxwell, ATC, MS, NSCA-PT
• Crystal R Mayfield, BSW, CADC, CSS
• Alyssa Judd Mayo, PMHNP-BC
• Chelsea McConaha, LCSW
• Genie A McFall
• Randy McGuire, ATC

• Physician Assistant in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.