Active NPI
Jason Holligan, MD
- Internal Medicine Physician
- East Point, GA
National Provider Identifier
1275238966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 112688
- Practice address
- 2084 Headland Dr
East Point, GA 30344-2135 - Phone
- (404) 965-5691
- NPI assigned
- Apr 3, 2023
- Last updated
- Oct 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 112688 | GA | Primary |
Addresses
Primary practice location
2084 Headland Dr
East Point, GA 30344-2135
Mailing address
1199 Prince Ave # 70
Athens, GA 30606-2797
Phone (706) 475-7055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231009003261 | GA | Order and Referring Only - Internal Medicine | 4082069141 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112688 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Georgia Holding, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Jencare Neighborhood Medical Center
- Specialist
- Miami Gardens, FL
- NPI 1609329630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1275238966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE # 70",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 HEADLAND DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303442135",
"telephone_number": "404-965-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIGAN",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "112688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
- Henry Wellness Center
- Deborah Gilbert Henry, M.D.
- Janice Herbert-Carter, MD
- Elizabeth Jordan Higdon, PT, DPT
- Airquetta Holden
- Hope Intervention Counseling Center, LLC
- Olivia Horton, BCBA
- Hospitalist Medicine Physicians of Georgia - East Point, PC
- Tawainna Delese Houston, ND
- Kristine Wensheng Hsu, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.