Jason Holligan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Athens, Georgia. His current practice location is
1270 Prince Ave Ste 201, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 475-7055.
Jason Holligan is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275238966.
Physician's Profile
| Full Name | Jason Holligan |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1270 Prince Ave Ste 201, Athens, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275238966
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 05/25/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082069141
- Enrollment ID: I20231009003261
Medical Identifiers
Medical identifiers for Jason Holligan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275238966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 112688 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Holligan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jason Holligan, MD 1199 Prince Ave # 70, Athens, GA 30606-2797 Ph: (706) 475-7055 | Jason Holligan, MD 1270 Prince Ave Ste 201, Athens, GA 30606-2789 Ph: (706) 475-7055 |
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