Individual provider Active NPI

Joy Lynn Holway, R.D.N.

  • Registered Dietitian
  • Leesburg, GA
National Provider Identifier
1336690254
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004675 Issued in GA
Practice address
113 Long Pine Dr
Leesburg, GA 31763-3145
Phone
(239) 682-0646
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD004675 GA Primary

Addresses

Primary practice location

113 Long Pine Dr
Leesburg, GA 31763-3145

Mailing address

113 Long Pine Dr
Leesburg, GA 31763-3145
Phone (239) 682-0646

Other practice location 1

1447 US Highway 19 S
Unit 9-C
Leesburg, GA 31763-4893
Phone (239) 682-0646

Other names 1

  • Miss Joy Lynn Post Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LD004675GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336690254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LONG PINE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633145",
            "telephone_number": "239-682-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LONG PINE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633145",
            "telephone_number": "239-682-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1447 US Highway 19 S",
            "address_2": "Unit 9-C",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317634893",
            "country_code": "US",
            "telephone_number": "239-682-0646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLWAY",
        "first_name": "JOY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "R.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "POST",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "R.D.N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.