Individual provider Active NPI

Keith Holley, FNP-C

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1992483903
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34210 Issued in TN
Practice address
353 New Shackle Island Rd Ste 140C
Hendersonville, TN 37075-2366
Phone
(615) 826-5664
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34210 TN
Family Nurse Practitioner 363LF0000X 34210 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 140C
Hendersonville, TN 37075-2366

Mailing address

123 Trail Ridge Way
Hendersonville, TN 37075-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240715003248 TN Practitioner - Nurse Practitioner 6406391325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

1128 N Castle Heights Ave
Lebanon, TN 37087-5640
Phone (423) 352-4381

1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088

1705 W Reelfoot Ave
Union City, TN 38261-5569
Phone (855) 632-3278

235 Hwy 52 W
Portland, TN 37148-1407
Phone (615) 802-1087

2377 Fairview Blvd
Fairview, TN 37062-6003
Phone (615) 799-0101

2660 Madison St
Clarksville, TN 37043-5498
Phone (931) 263-0581

301 W Main St
Waverly, TN 37185-1512
Phone (615) 988-1571

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

718 E College St
Dickson, TN 37055-2032
Phone (615) 560-7016

811 N Main St
Mt Pleasant, TN 38474-1017
Phone (931) 379-3229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince May 20, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince May 20, 2025 Accepting new patients
Upperline Healthcare, PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

Organizations & group practices 5

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 1

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1992483903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 TRAIL RIDGE WAY",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 140C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752366",
            "telephone_number": "615-826-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "KEITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.