| Kevin M Holloway, MD | |
|
415 E 4th Ave Ste B, Cordele, GA 31015-0614 | |
| (229) 276-2190 | |
| (229) 276-3639 |
| Full Name | Kevin M Holloway |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 415 E 4th Ave Ste B, Cordele, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114107810 | NPI | - | NPPES |
| 792796970B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 001302 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crisp Regional Hospital | Cordele, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peachtree Immediate Care Fp, Llc | 3274559323 | 273 |
| Crisp Regional Hospital Inc | 5991616336 | 60 |
| Entity Name | Crisp Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700851649 PECOS PAC ID: 5991616336 Enrollment ID: O20040107000032 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Holloway, MD 1801 Quail Run, Cordele, GA 31015-2096 Ph: (229) 276-2190 | Kevin M Holloway, MD 415 E 4th Ave Ste B, Cordele, GA 31015-0614 Ph: (229) 276-2190 |
Srilatha Nadipineni, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 E 4th Ave, Cordele, GA 31015 Phone: 229-276-2180 Fax: 229-276-3638 | |
Guido H Ring, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3100 | |
Thomas Neal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3361 | |
David Kavtaradze, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3100 | |
Dr. Peter A Donnan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1008 N 7th St, Cordele, GA 31015 Phone: 229-273-4779 Fax: 229-273-3452 | |
Lewis Christopher Stanley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 910 N 5th St, Cordele, GA 31015 Phone: 229-271-4645 Fax: 229-271-4646 |