Nathaniel Charles Holloway, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1263 Issued in MS

Practice address

1550 N Main St Ste a
Columbia, IL 62236-1070

Phone

(618) 281-6167

Fax

(618) 281-4444

NPI assigned

Dec 5, 2016

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Columbia Family Chiropractic, PLLC

  • Chiropractor
  • Columbia, IL
  • NPI 1558046664
  Medicare reassignment NPD Authorized official
• Mestdagh Chiropractic Corp

  dba Columbia Chiropractic

  • Chiropractor
  • Columbia, IL
  • NPI 1801192554
  NPD
• Mid South Chiropractic of Hernando PLLC

  • Chiropractor
  • Hernando, MS
  • NPI 1750807301
  NPD (past)

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1649714064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-6167",
            "fax_number": "618-281-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST STE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361070",
            "telephone_number": "618-281-6167",
            "fax_number": "618-281-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6942 Autumn Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386549379",
            "country_code": "US",
            "telephone_number": "901-605-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "NATHANIEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Human Support Services
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• Chiropractor in Columbia, IL
• Providers in Columbia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.