KEISHA LAJEAN HOLCOMB FNP-BC
NPI 1053065730
Nurse Practitioner - Family in Chattanooga, TN

Q: What is Keisha Holcomb's NPI number?

The NPI number for Keisha Holcomb is 1053065730. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Q: What is Keisha Holcomb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Keisha Holcomb was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 10, 2022PECOS Enrolled

1651 GUNBARREL RD STE 201, CHATTANOOGA, TN 37421(423) 899-9133(423) 855-8176 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2024, Apr 11, 2023, Apr 15, 2022 and 2 more (5 updates tracked since 2022).

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About Keisha Lajean Holcomb Fnp-bc NPPES

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

KEISHA LAJEAN HOLCOMB FNP-BC (NPI 1053065730) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (31307) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chattanooga, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053065730

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEISHA LAJEAN HOLCOMBCredential: FNP-BC

Location Address1651 GUNBARREL RD STE 201Chattanooga, TN 37421-3291

Mailing Address165 Twin Creeks Dr NwCleveland, TN 37312-6976 · (423) 710-4871

Phone(423) 899-9133

Fax(423) 855-8176

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 10, 2022

Last NPPES UpdateDecember 6, 20245 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1053065730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 31307✔ Licensed in GA · GAA-NP000672✔ Licensed in TN · 133484

1651 GUNBARREL RD STE 201, Chattanooga, TN 37421

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Secondary Practice Location 1

Location 11651 Gunbarrel Rd Ste 101AChattanooga, TN 37421-3289 · Phone (423) 899-9133 · Fax (423) 855-8176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha Lajean Holcomb Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234524281

PECOS Enrollment IDI20220310000415

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENT D CHILDS MD

Obstetrics & Gynecology