Kimberly Hollis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN281463 Issued in GA

Practice address

1525 Fair Rd Ste 105a
Statesboro, GA 30458-6118

Phone

(276) 591-0818

Fax

(912) 259-9509

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.hollis.p1@direct.savannahvascular.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EDHIDD
• Direct secure messaging: khollis271915@direct.leememorial.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/EDHIDD/Endpoint/EDHIDD

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.

• Numi Wellness and Diabetes Center LLC

  • Family Medicine Physician
  • Statesboro, GA
  • NPI 1518788959
  Medicare reassignment NPD
• Savannah Vascular Institute, LLC

  • Vascular Surgery Physician
  • Savannah, GA
  • NPI 1184873390
  NPD

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1861967564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 FAIR RD STE 105A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586118",
            "telephone_number": "276-591-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 FAIR RD STE 105A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586118",
            "telephone_number": "276-591-0818",
            "fax_number": "912-259-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN281463",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Hiller, M.D.
• Christopher C Hinson, O.D.
• Mary Alice Taylor Hinson
• Deanna Hodnicki, CPNP
• Jason Boyd Hollis, D.O.
• Xavier Hollmon
• Octavia Raquel Holloway-Freeman, NP-C
• McKenzie Holmes
• Cindy A Holt, CRNA
• Samantha Holzendorf

• Family Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.