Thomas G Hollis, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

905 Issued in GA

Practice address

3025 Bull St Ste 227
Savannah, GA 31405-2016

Phone

(912) 236-3712

Fax

(912) 236-0755

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1306888409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10297",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314120497",
            "telephone_number": "912-713-5425",
            "fax_number": "912-234-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BULL ST STE 227",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052016",
            "telephone_number": "912-236-3712",
            "fax_number": "912-236-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leah Hollandsworth, APRN, PMHNP-BC
• Nicholas Holley
• Oriana Hollingsworth Boyles
• Brieanne Margaret Hollingsworth, PTA
• Neal Hollis
• Andrew Holloway, RPH
• Denise Holloway, ATC
• Brenda Holmes
• Crystal Venita Holmes, LPC
• Deanna Holmes

• Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.