Holli Bailey Eason, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Ludowici, GA
NPI 1982196507 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1982196507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN116108 (GA)
- Practice address
- 213 N McDonald St Ste a&B
Ludowici, GA 31316 - Phone
- (912) 545-9398
- Fax
- (912) 545-2747
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Montgomery Emergency Group, LLC
Community Primary Care of Georgia LLC
Practice addresses (Care Compare)
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5429
1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2100
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.21 of 100
- Quality
- 84.26
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180912003408 | GA | Practitioner - Nurse Practitioner | 3274883251 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN116108 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Primary Care of Georgia LLC | Current |
Accepting new patients | |
| Diversity Health Center Inc | Past | Accepting new patients |
Locations
1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN116108 | GA | Yes |
Addresses
Primary practice location
213 N McDonald St Ste a&B
Ludowici, GA 31316
Mailing address
1524 Ad Eason Rd
Claxton, GA 30417-3738
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003207281A | Medicaid | GA | |
| RN116108 | Other | GA | PROVIDER LICENSE |
Other providers in Ludowici, GA
- Thomas Richard Crutchfield
- Tiffany Deann Dewitt
- Diversity Health Center Inc
- Diversity Health Center Inc.
- Diversity Health Center Inc.
- Excelsior Ambulance Service Inc
- Skytina Roshelle Felder-Jones
- Stephanie Marie Garcia-Colon
- Stacie Graham
- Chelsey Guthrie
All providers in Ludowici, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.