Individual provider Active NPI

Joyce S Hollins

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1891155487
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 179039 Issued in GA
Practice address
2660 Montpelier Ave
Macon, GA 31204-5226
Phone
(478) 743-8316
Fax
(478) 743-1824
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 179039 GA Primary

Addresses

Primary practice location

2660 Montpelier Ave
Macon, GA 31204-5226

Mailing address

2660 Montpelier Ave
Macon, GA 31204-5226
Phone (478) 743-8316

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307002809 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 1052617719 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN 179039GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Heart Physicians LLC CurrentSince Dec 20, 2017 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Feb 3, 2026 Accepting new patients
Macon Electrophysiology Associates PastSince Dec 20, 2017 Accepting new patients

Locations

654 1st St
Macon, GA 31201
Phone (478) 738-9443

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1891155487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MONTPELIER AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045226",
            "telephone_number": "478-743-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 MONTPELIER AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045226",
            "telephone_number": "478-743-8316",
            "fax_number": "478-743-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINS",
        "first_name": "JOYCE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN 179039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.