NPIMap

Individual provider Active NPI

Jason Boyd Hollis, D.O.

  • Family Medicine Physician
  • Statesboro, GA
National Provider Identifier
1942697495
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80316 Issued in GA
Practice address
1525 Fair Rd Ste 105a
Statesboro, GA 30458-6118
Phone
(276) 591-8383
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80316 GA Primary

Addresses

Primary practice location

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

Mailing address

1525 Fair Rd Ste 105a
Statesboro, GA 30458-6118
Phone (912) 259-9509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821002745 GA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative Care 1951650126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
William Carey University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Family Medicine of Georgia, LLCGroup PAC ID 6608914056, 10 clinicians

Practice addresses (Care Compare)

1140 Brampton Ave
Statesboro, GA 30458-0847
Phone 9128712273128

1525 Fair Rd
Suite 105a
Statesboro, GA 30458-6118
Phone (912) 259-9509

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
80316GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince Mar 1, 2020 Accepting new patients
Southern Family Medicine of Georgia, LLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Numi Wellness and Diabetes Center LLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Curtis V. Cooper Primary Health Care, Inc CurrentSince Mar 1, 2020 Accepting new patients
Curtis V. Cooper Primary Health Care Inc. Current Accepting new patients
Everyday Diabetes Center, LLC Past Accepting new patients

Locations

308 E Long St
Claxton, GA 30417
Phone (912) 290-5235

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

1525 Fair Rd
Ste 105A
Statesboro, GA 30458
Phone (276) 591-8383

1140 Brampton Ave
Statesboro, GA 30458
Phone (912) 871-2273

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ogeechee Area Hospice Inc.Statesboro, GA, CCN 111535 Hospice Contracted Managing Employee Jul 20, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1942697495",
    "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": "912-259-9509",
            "fax_number": "912-785-2005"
        },
        {
            "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": "276-591-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JASON",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "80316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.