NICHOLAS MICHAEL HOLL (NPI# 1952802704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952802704 |
| Entity Type | Individual |
| Full Name | NICHOLAS MICHAEL HOLL |
| Credential | PA-C |
| Practice Address |
50 Kelly Rd Mcdonough GA 30253-6097 |
| Practice Telephone | 7709571887 |
| Practice Fax Number | 7709576864 |
| Mailing Telephone | 7709571887 |
| Mailing Fax Number | 7709576864 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
7731 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 KELLY RD |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-6097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780674598 | Frank Carson Steele Jr. | Family Medicine | 50 Kelly Rd, Mcdonough, GA 30253-6012 | 2005-10-24 |
| 1487216966 | Kenyatta Nicole Collins | Nurse Practitioner | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2019-07-03 |
| 1346744240 | Ncp Mcdonough, LLC | Clinic/Center | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2018-03-23 |
| 1174041404 | Lokhana Kong | Nurse Practitioner | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2017-09-07 |
| 1982064358 | Vahid Yeganeh | Family Medicine | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2016-02-29 |
| 1386004810 | Alicia Simpson | Nurse Practitioner | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2016-02-25 |
| 1417321761 | Lakeisha Jenkins | Nurse Practitioner | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2015-11-24 |
| 1578946133 | Johana Andrea Polanco | Family Medicine | 50 Kelly Rd, Mcdonough, GA 30253 | 2015-07-01 |
| 1487070314 | Lisa Jewell | Nurse Practitioner | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2014-03-17 |
| 1104265016 | Vera Lafosse | Family Medicine | 50 Kelly Rd, Mcdonough, GA 30253-6097 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043440530 | Family Medical and Urgent Care Clinic of Mcdonough, LLC | Physician Assistant | 1631 Hwy 20 W, Mcdonough, GA 30253-7311 | 2009-07-20 |
| 1932305323 | John Authur Mcdowell Jr. | Physician Assistant | 1227 Persimmon Way, Mcdonough, GA 30252-8438 | 2007-06-22 |
| 1871982124 | Vladimir Odinets | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2015-01-09 |
| 1346505179 | Robert T Sikes | Physician Assistant | 1631 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-07-09 |
| 1831373992 | Mark Whitmer | Physician Assistant | 4303 Jodeco Rd, Mcdonough, GA 30253-8297 | 2007-12-26 |
| 1730250077 | Scott R Cook | Physician Assistant | 55 Sims St, Mcdonough, GA 30253-2320 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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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.