PETER O. HOLLIDAY, III M.D. P.C.


Address: 420 Charter Blvd, Ste 402, Macon, GA 31210-4854
Phone: 4784740394

PETER O. HOLLIDAY, III M.D. P.C. (NPI# 1508120684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508120684
Entity Type Organization
Organization Name PETER O. HOLLIDAY, III M.D. P.C.
Practice Address 420 Charter Blvd
Ste 402
Macon
GA 31210-4854
Practice Telephone 4784740394
Practice Fax Number 4784775509
Mailing Telephone 4784740394
Mailing Fax Number 4784775509
Enumeration Date 2012-07-03
Last Update Date 2012-09-20
Authorized Official Name DR. PETER O HOLLIDAY III (PRESIDENT)
Authorized Official Telephone 4784740394
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 420 CHARTER BLVD
STE 402
City MACON
State GA
Zip Code 31210-4854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508853219 Vito John Bagnato Surgery 420 Charter Blvd, Suite 103, Macon, GA 31210-4854 2005-09-29
1790211399 Bethesda Institute of Spine & Neurosurgery Neurological Surgery 420 Charter Blvd, #208, Macon, GA 31210-4854 2017-05-03
1992053912 Catherine B Butler Counselor 420 Charter Blvd, Suite 205, Macon, GA 31210-4854 2012-08-23
1235498833 Joseph Burnette, LLC Surgery 420 Charter Blvd, Suite 320, Macon, GA 31210-4854 2012-05-16
1851660443 Palmyra Surgical, LLC Surgery 420 Charter Blvd, Suite 103, Macon, GA 31210-4854 2011-12-28
1124269089 P O Holliday IIi Family Leasing Co LLC Durable Medical Equipment & Medical Supplies 420 Charter Blvd, Ste 402, Macon, GA 31210-4854 2009-03-23
1528231602 Rebecca L Bass Md - Pulmonary Medicine PC Specialist 420 Charter Blvd, Suite 302, Macon, GA 31210-4854 2008-04-09
1134248149 Alan Paul Deese Internal Medicine 420 Charter Blvd, Suite 405, Macon, GA 31210-4854 2007-03-29
1861532103 Rebecca Lynn Bass Specialist 420 Charter Blvd, Suite 302, Macon, GA 31210-4854 2007-02-07
1780750992 Alan P Deese Md PC Internal Medicine 420 Charter Blvd, Suite 405, Macon, GA 31210 2006-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743455 Dana Elizabeth Toth Nurse Practitioner 5300 Bowman Rd, Macon, GA 31210 2020-02-25
1871124735 Jessica Bello Nurse Practitioner 5300 Bowman Road, Macon, GA 31210 2020-01-30
1225505787 Rebekah Hollinshead Occupational Therapist Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 2018-11-01
1346744943 Ace Medical Transport LLC. Ambulance 728 Gay Dr, Macon, GA 31210 2018-03-20
1972965226 Omar Faruk Ahmad Family Medicine 3400 Riverside Drvie, Macon, GA 31210 2016-03-25
1083074868 Macon Dentist Office, PC Dentist 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 2016-03-07
1992176952 Kerisia Wasztyl Marriage & Family Therapist 4691 Pine Valley Dr, Macon, GA 31210 2015-10-15
1073905444 Eunice Malave De Leon Social Worker 174 Spring St, Macon, GA 31210 2015-02-23
1396141545 Axis Surgery Center LLC Clinic/Center 230 Sheraton Blvd, Ste B, Macon, GA 31210 2014-11-17
1073914115 Monique Rechelle Delay Moore Community/Behavioral Health 646 Millrun Court, Macon, GA 31210 2014-09-09
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932202066 George S. Stefanis, Md PC Neurological Surgery 310 Hospital Dr Ste 205, Macon, GA 31217-8025 2006-09-06
1821042946 Kevin Lee Stevenson Neurological Surgery 121 N Crest Blvd, Macon, GA 31210-1845 2006-05-22
1255985719 Christina Stonecypher Neurological Surgery 840 Pine St Ste 880, Macon, GA 31201 2019-08-01
1306498605 Ae Mary Irwin Neurological Surgery 840 Pine St Ste 880, Macon, GA 31201-7525 2019-07-16
1659857662 Robert Ashley Brunson Neurological Surgery 840 Pine St Ste 880, Macon, GA 31201-7525 2018-07-12
1750890562 Tattnall Hospital Company LLC Neurological Surgery 121 N Crest Blvd, Macon, GA 31210-1845 2017-09-25
1790211399 Bethesda Institute of Spine & Neurosurgery Neurological Surgery 420 Charter Blvd, #208, Macon, GA 31210-4854 2017-05-03
1801243894 Konstantinos Fountas Neurological Surgery 840 Pine St, Suite 880, Macon, GA 31201-2100 2016-05-19
1356721484 Neurology Services of Florida Neurological Surgery 761 Poplar St, Ste 1-k, Macon, GA 31201-2082 2015-06-03
1659678555 Richard Aurelius Smith Neurological Surgery 5300 Zebulon Rd, Macon, GA 31210-2199 2011-02-12
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Competitor

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City MACON
Zip Code 31210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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