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JERRY M HOLLEY MD PLLC
NPI 1013400852
Internal Medicine in Memphis, TN

Active since June 06, 2018
4100 AUSTIN PEAY HWY, MEMPHIS, TN 38128(901) 486-1151(901) 844-1439 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry M Holley Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY M HOLLEY MD PLLC (NPI 1013400852) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Arlington and lists Jerry M Holley, Owner, as its authorized official.

NPPES Registry Identity

NPI1013400852
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJERRY M HOLLEY MD PLLC
Location Address4100 AUSTIN PEAY HWYMemphis, TN 38128-2502
Mailing Address8131 Rebecca Woods DrArlington, TN 38002-5798 · (901) 486-1151
Phone(901) 486-1151
Fax(901) 844-1439
Organization SubpartNo
Authorized OfficialJerry M HolleyOwner · (901) 486-1151
Enumeration DateJune 6, 2018
Last NPPES UpdateNovember 12, 2018
✔ NPI 1013400852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 020391
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4100 AUSTIN PEAY HWY, Memphis, TN 38128
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Secondary Practice Location 1

Location 18131 Rebecca Woods DrArlington, TN 38002-5798 · Phone (190) 148-6115

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry M Holley Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry M Holley MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Holley, MD
Internal Medicine
NPI 1851494462
6570 SUMMER OAKS COVE
Bartlett, TN 38134
(901) 373-7100
✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry M Holley MD PLLC's NPI number?

The NPI number for Jerry M Holley MD PLLC is 1013400852. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Jerry M Holley MD PLLC located?

Jerry M Holley MD PLLC is located at 4100 Austin Peay Hwy, Memphis, TN 38128. The listed phone number is (901) 486-1151.

What is Jerry M Holley MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jerry M Holley MD PLLC enrolled in Medicare?

Yes. Jerry M Holley MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry M Holley MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jerry M Holley MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry M Holley MD PLLC was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.