Janice King Holloway, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F958 Issued in SC

Practice address

102 Breezewood CT
Elloree, SC 29047-8100

Phone

(843) 384-4036

NPI assigned

Jul 20, 2006

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Janice K. Peavy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• South Carolina Health Service

  dba Urgent Care Center at Bluffton Okatie

  • Family Medicine Physician
  • Okatie, SC
  • NPI 1861509457
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1811917974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STILLWELL RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106615",
            "telephone_number": "843-757-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BREEZEWOOD CT",
            "city": "ELLOREE",
            "state": "SC",
            "postal_code": "290478100",
            "telephone_number": "843-384-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JANICE",
        "middle_name": "KING",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN162211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "PEAVY",
            "middle_name": "K.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boland Pharmacy
• Richard Lee Carpenter Jr., MD
• Elloree Pharmacy LLC
• Carla Fair Fleming, PT
• Lea Gaillard Helmly, RPH
• Dianna Keller Murphy, LPC
• Lester Ray Oliver, DMD
• Dekorsha Keyera Williams, APRN-FNP-BC

• Family Nurse Practitioner in Elloree, SC
• Providers in Elloree, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.