Keaymonda Hollis

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

112 Loblolly LN
Albany, GA 31721-7724

Phone

(229) 854-8418

Fax

(855) 626-0642

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1811559982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LOBLOLLY LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317217724",
            "telephone_number": "229-854-8418",
            "fax_number": "855-626-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LOBLOLLY LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317217724",
            "telephone_number": "229-854-8418",
            "fax_number": "855-626-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KEAYMONDA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Althea Hodges Felton
• Chase Holbrook
• Holistic Health Systems Inc
• Holistic Healthcare in Albany, LLC
• Dezmond J Hollings, NP
• Dylan Holloway, DMD
• Sherry Holman, REGISTERED NURSE
• Kevin Devon Holmes Sr.
• Markeysha Rena Holmes
• Taylor Leigh Holmes, NP-C

• Non-emergency Medical Transport (VAN) in Albany, GA
• Providers in Albany, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.