Active NPI
Kayla Melissa Holloway, NP-C
- Family Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN211441
- Practice address
- 610 3Rd St
Macon, GA 31201-3294 - Phone
- (478) 464-2600
- Fax
- (478) 724-2040
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN211441 | GA | Primary |
Addresses
Primary practice location
610 3Rd St
Macon, GA 31201-3294
Mailing address
610 3Rd St
Macon, GA 31201-3294
Phone (478) 464-2600
Other names 1
- Kayla Melissa Blount
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 3Rd St
Macon, GA 31201-3262
Phone (478) 464-2600
6103 Rd St
Suite 202
Macon, GA 31201-3262
Phone (478) 464-2600
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Emory Houston Hospital Warner Robins
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Central Ga, LLC | Current | Accepting new patients | |
| Synergetic Healings LLC | Past | Accepting new patients |
Locations
610 3rd St
Ste 202
Macon, GA 31201
Phone (478) 216-7378
610 3rd St
Ste 206
Macon, GA 31201
610 3rd St
Ste 204
Macon, GA 31201
Phone (478) 477-3936
610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205
610 3rd St
Macon, GA 31201
Interoperability endpoints
- kayla.blount@gaocg.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Specialist
- Macon, GA
- NPI 1528192176
-
- Clinical Social Worker
- Gray, GA
- NPI 1831967884
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1275909426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 3RD ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013294",
"telephone_number": "478-464-2600",
"fax_number": "478-724-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 3RD ST",
"city": "MACON",
"state": "GA",
"postal_code": "312013294",
"telephone_number": "478-464-2600",
"fax_number": "478-724-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "KAYLA",
"middle_name": "MELISSA",
"name_prefix": "Miss",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN211441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "BLOUNT",
"middle_name": "MELISSA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.