Kevin M Holloway (NPI# 1114107810, PAC ID# 2860563962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114107810 |
| PAC ID by PECOS | 2860563962 |
| Professional Enrollment ID | I20080617000741 |
| Full Name | Kevin M Holloway |
| Organization Legal Name | CRISP REGIONAL HOSPITAL INC |
| Address |
108 E 4th Ave Cordele GA 31015-3210 |
| Phone Number | 2292762190 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991616336 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110104 | CRISP REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 108 E 4th Ave, Cordele, GA 31015-3210 | 2292762190 | CRISP REGIONAL HOSPITAL INC |
| 902 N 7th St, Cordele, GA 31015-3234 | 2292763100 | CRISP REGIONAL HOSPITAL INC |
| Organization Legal Name | CRISP REGIONAL HOSPITAL INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beatrice H Mckee | Nurse Practitioner | Crisp Regional Hospital Inc | 216 Hospital Dr, Cordele, GA 31015-3275 |
| Srilatha Nadipineni | Internal Medicine | Crisp Regional Hospital Inc | 401 E 4th Ave, Cordele, GA 31015-3620 |
| Vincent S Culpepper | General Surgery | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Kimmie A. Carden | Physician Assistant | Crisp Regional Hospital Inc | 135 Dogwood Swst, Warwick, GA 31796-5568 |
| Afolabi A Tiamiyu | Emergency Medicine | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Jenifer E Taylor | Nurse Practitioner | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Susan Mccard | Nurse Practitioner | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Bradley T Davis | Nurse Practitioner | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Jack Bradley Royal | Anesthesiology | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Oscar S Teal | Nurse Practitioner | Crisp Regional Hospital Inc | 902 N 7th St, Cordele, GA 31015-3234 |
| Street Address |
108 E 4TH AVE |
| City | CORDELE |
| State | GA |
| Zip | 31015-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James L Griffith | Gastroenterology | Crisp Regional Hospital Inc | 108 E 4th Ave, Cordele, GA 31015-3210 |
| Phylis J Willis | Nurse Practitioner | Crisp Regional Hospital Inc | 108 E 4th Ave, Cordele, GA 31015-3210 |
| Lester F Littell | Orthopedic Surgery | Crisp Regional Hospital Inc | 108 E 4th Ave, Cordele, GA 31015-3210 |
| Lois R March | Otolaryngology | Crisp Regional Hospital Inc | 108 E 4th Ave, Cordele, GA 31015-3210 |
| Vithal Kusuma | Gastroenterology | Crisp Regional Hospital Inc | 108 E 4th Ave, Cordele, GA 31015-3210 |
| Geraldine J Anderson | Nurse Practitioner | Crisp Regional Hospital Inc | 108 E 4th Ave, Cordele, GA 31015-3210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holley Ivey | Nurse Practitioner | Phoebe Physician Group Inc | 415 E 4th Ave C, Cordele, GA 31015-0614 |
| Edward Koomson | Cardiovascular Disease (cardiology) | Phoebe Physician Group Inc | 415 E 4th Ave C, Cordele, GA 31015-0614 |
| Bianca Kierce | Nurse Practitioner | Phoebe Physician Group Inc | 415 E 4th Ave C, Cordele, GA 31015-0614 |
| Michael Davis | Orthopedic Surgery | Regional Health Group Inc | 316 E 16th Ave, Cordele, GA 31015-1208 |
| Willie Michael Fussell | Physical Medicine and Rehabilitation | Regional Health Group Inc | 316 E 16th Ave, Cordele, GA 31015-1208 |
| Natalie K Harris | Physical Therapy | Premier Orthopedics PC | 316 E 16th Ave, Suite A, Cordele, GA 31015-1209 |
| Christopher Everett Davis | Physical Therapy | Premier Orthopedics PC | 316 E 16th Ave, Suite A, Cordele, GA 31015-1209 |
| Carrilee Smith | Nurse Practitioner | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Lauren Reid | Nurse Practitioner | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Keegan T Murphy | Nurse Practitioner | Stevens Health Services PC | 201 E 16th Ave, Cordele, GA 31015-1623 |
| Find all physicians in zip 31015 | |||
| City | CORDELE |
| Zip Code | 31015 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CORDELE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin M Holloway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.