Holly Ely, CRNA in Carrollton, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Holly Ely, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carrollton, Georgia. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lake Norman Anesthesia Associates, Tmc-west Georgia Anesthesia Associates Inc. and her current practice location is 705 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-9666.

Holly Ely is licensed to practice in Georgia (license number GAA-CRNA003198) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801415872.

Contact Information

	Holly Ely, CRNA
	705 Dixie St, Carrollton, GA 30117-3818
	(770) 812-9666
	Not Available

Map and Direction

Provider's Profile

Full Name	Holly Ely
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	705 Dixie St, Carrollton, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Ely graduated from nursing school in 2020

NPI Data:

NPI Number: 1801415872
Provider Enumeration Date: 04/10/2020
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4284059684
Enrollment ID: I20211229002264

Medical Identifiers

Medical identifiers for Holly Ely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801415872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	GAA-CRNA003198 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tanner Medical Center - Carrollton	Carrollton, GA	Hospital
Lake Norman Regional Medical Center	Mooresville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Norman Anesthesia Associates	1951396126	23
Tmc-west Georgia Anesthesia Associates Inc.	2365456308	65

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holly Ely allows following entities to bill medicare on her behalf.

Entity Name	Lake Norman Anesthesia Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386753457 PECOS PAC ID: 1951396126 Enrollment ID: O20040416001309

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. Holly Ely 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
Holly Ely, CRNA 143 Gwendolyn Ct, Carrollton, GA 30117-8103 Ph: (770) 328-1089	Holly Ely, CRNA 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 812-9666

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Carrollton, GA

Colby Jon Williamson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666
Brandon Gabe Graves, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666
Mark Schmitz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703
Jeffrey Dishman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703
Glenn Jeffrey Ray, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-301-0858
Mrs. Joann L Carson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 160 Clinic Ave, Carrollton, GA 30117 Phone: 770-834-1008 Fax: 770-834-2531
Jaclyn M Aldridge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703

Holly Ely, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Carrollton, GA