Individual provider Active NPI

Holly Gilreath Coleman, M.D.

  • Gynecology Physician
  • Gainesville, GA
National Provider Identifier
1720163868
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
046837 Issued in GA
Practice address
440 Washington St SE
Gainesville, GA 30501-3619
Phone
(770) 532-9250
Fax
(770) 532-4242
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 046837 GA Primary

Addresses

Primary practice location

440 Washington St SE
Gainesville, GA 30501-3619

Mailing address

PO Box 2511
Gainesville, GA 30503-2511
Phone (770) 532-9250

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000710 GA Practitioner - Obstetrics/Gynecology 6800886136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

440 Washington St SE
Gainesville, GA 30501-3619
Phone (770) 532-9250

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46837GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Gynecology CurrentSince Dec 29, 2003 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Dec 30, 2017 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Dec 30, 2017 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

440 Washington St SE
Gainesville, GA 30501
Phone (770) 532-9250

535 Spring St SE
Gainesville, GA 30501
Phone (770) 532-9250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: holly.coleman.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1720163868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2511",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305032511",
            "telephone_number": "770-532-9250",
            "fax_number": "770-532-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WASHINGTON ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013619",
            "telephone_number": "770-532-9250",
            "fax_number": "770-532-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "HOLLY",
        "middle_name": "GILREATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "046837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.