JACOB HOLLOWAY (NPI# 1831538743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831538743 |
| Entity Type | Individual |
| Full Name | JACOB HOLLOWAY |
| Practice Address |
4500 Hospital Blvd Ste 230 Roswell GA 30076 |
| Mailing Address |
4500 Hospital Blvd Ste 230 Roswell GA 30076-0001 |
| Practice Telephone | 4709564560 |
| Practice Fax Number | 7704758968 |
| Mailing Telephone | 4709564560 |
| Mailing Fax Number | 7704758968 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 58-2329008 | GA | Hospitals |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 Parkway Dr Ne, Atlanta, GA 303121212 | 4042654411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609025 | Jacob Holloway | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-08-11 |
| 1851751630 | Jacob Holloway | Nurse Practitioner | 1040 W Jefferson St, Brownsville, TX 78520-6338 | 2016-03-07 |
| 1548435316 | Jacob Holloway | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2008-04-23 |
| Street Address |
4500 HOSPITAL BLVD STE 230 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215957030 | David Jacoboff | Internal Medicine | 4500 Hospital Blvd Ste 230, Roswell, GA 30076-0001 | 2006-07-21 |
| 1821256496 | Ahsan Nader Achtchi | Internal Medicine | 4500 Hospital Blvd Ste 230, Roswell, GA 30076 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073231 | North Fulton Regional | General Acute Care Hospital | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2016-06-09 |
| 1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
| 1972878361 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2012-03-19 |
| 1346518529 | Chaves County New Mexico Hospital Company LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2011-12-02 |
| 1114934254 | New Mexico Medical Surgical Hospital LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2006-08-02 |
| 1750312997 | Wellstar North Fulton Hospital, Inc | General Acute Care Hospital | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2006-07-05 |
| 1447221742 | Roswell Hospital Corporation | General Acute Care Hospital | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| Find all providers with the same taxonomy | ||||
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| 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.