MRS. IVEY ELLIS HOLT (NPI# 1831430032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831430032 |
| Entity Type | Individual |
| Full Name | MRS. IVEY ELLIS HOLT |
| Credential | PA |
| Practice Address |
2300 Manchester Expy Ste A6 Columbus GA 31904-6802 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 7065964225 |
| Practice Fax Number | 7063233425 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
006742 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003132870 | 05 | |
| AL | 147458 | 05 | |
| GA | STATE LICENSE | 006742 | 01 |
| Street Address |
2300 MANCHESTER EXPY STE A6 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994403 | Sebastian O Hubbuch | Internal Medicine | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6877 | 2005-06-28 |
| 1730615790 | Petra S Glover | Nurse Practitioner | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6802 | 2017-05-11 |
| 1063956795 | Rebekah Begly | Nurse Practitioner | 2300 Manchester Expy, Butler Pavilion, Suite 1007, Columbus, GA 31904-6802 | 2016-12-14 |
| 1528517802 | Tracy B Stokes | Nurse Practitioner | 2300 Manchester Expy, Ste C001, Columbus, GA 31904-6802 | 2016-09-27 |
| 1073066254 | Chelsea Lawrence | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Butler Pavilion, Columbus, GA 31904-6802 | 2016-07-25 |
| 1609229863 | Dixie Peterson | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 | 2016-07-22 |
| 1720430440 | Alexander Chavez | Nurse Practitioner | 2300 Manchester Expy, Ste 1009, Columbus, GA 31904-6802 | 2016-07-06 |
| 1437506318 | Michael Lemke | Nurse Practitioner | 2300 Manchester Expy, Building A, Suite 6, Columbus, GA 31904-6802 | 2016-05-19 |
| 1568822286 | Summer Carol Still | Nurse Practitioner | 2300 Manchester Expy, Suite 2001, Columbus, GA 31904-6802 | 2016-02-24 |
| 1861857294 | St. Francis Physician Practices LLC | Physical Medicine & Rehabilitation | 2300 Manchester Expy, Ste A005, Columbus, GA 31904-6802 | 2015-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1114177722 | Malachi Hutto IIi | Physician Assistant | 2300a Manchester Express Way Suite 101a, St. Francis Orthopaedic Institute, Columbus, GA 31904 | 2008-09-19 |
| 1518167279 | Howard A. Paskett | Physician Assistant | 2050 Kenny Rd Ste 3300, Columbus, OH 43221-3502 | 2007-07-20 |
| 1346440286 | Mary Fisher Feldman | Physician Assistant | N-839 Doan Hall 410 West 10th Ave., Osu Thoracic Surgery, Columbus, OH 43210-1240 | 2007-07-19 |
| 1033190723 | Brian Douglas Foor | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2005-11-09 |
| 1063031516 | Erik C Zimmer | Physician Assistant | 285 E State St Ste 260, Columbus, OH 43215-4322 | 2020-04-15 |
| 1023662327 | Emily L Sedler | Physician Assistant | 940 N Marr Rd Ste C, Columbus, IN 47201-2610 | 2019-07-25 |
| 1225500127 | Eric M Ladow | Physician Assistant | 285 E State St Ste 400, Columbus, OH 43215-4354 | 2018-12-18 |
| 1629581178 | Frehun Ayele Asele | Physician Assistant | 700 Childrens Dr, Columbus, OH 43205-2664 | 2017-11-07 |
| 1437674793 | Monica Faye Mills | Physician Assistant | 255 Baptist Blvd Ste 401, Columbus, MS 39705 | 2017-08-08 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.