Mrs Sandra Holloway, is a medicare enrolled "Nurse Practitioner - Gerontology" in Sparks, Georgia. Her current practice location is
607 Bethany St, Sparks, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 237-6052.
Mrs Sandra Holloway is licensed to practice in Georgia (license number RN158478) 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 1851938559.
Provider's Profile
| Full Name | Mrs Sandra Holloway |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 607 Bethany St, Sparks, Georgia |
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| 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:
- Mrs Sandra Holloway attended and graduated from in
NPI Data:
- NPI Number: 1851938559
- Provider Enumeration Date: 12/02/2019
- Last Update Date: 12/02/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Sandra Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851938559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | RN158478 (Georgia) | 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. Mrs Sandra Holloway 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 |
Mrs Sandra Holloway, 607 Bethany St, Sparks, GA 31647-7139 Ph: (229) 237-6052 | Mrs Sandra Holloway, 607 Bethany St, Sparks, GA 31647-7139 Ph: (229) 237-6052 |
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