Individual provider Active NPI

Emily Brown Holloway, PA-C

  • Physician Assistant
  • Asheboro, NC
National Provider Identifier
1780200881
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10227 Issued in NC
Practice address
197 NC Highway 42 N Ste B
Asheboro, NC 27203-7968
Phone
(336) 625-2560
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10227 NC Primary

Addresses

Primary practice location

197 NC Highway 42 N Ste B
Asheboro, NC 27203-7968

Mailing address

550 White Oak St
Asheboro, NC 27203-4710
Phone (336) 483-3001

Other practice location 1

101 Cabarrus Ave E
Concord, NC 28025-3699
Phone (432) 528-2884

Other identifiers 1

IdentifierTypeStateIssuer
0010-10227OtherNCSTATE LICENSE

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1780200881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034710",
            "telephone_number": "336-483-3001",
            "fax_number": "336-625-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 NC HIGHWAY 42 N STE B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272037968",
            "telephone_number": "336-625-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cabarrus Ave E",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253699",
            "country_code": "US",
            "telephone_number": "432-528-2884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "EMILY",
        "middle_name": "BROWN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2021-01-21",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0010-10227",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.