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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

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: November 01, 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 Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Keisha Holcomb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Medical Group, PC

8.7 mi

Internal Medicine

4976 ALPHA LN
Hixson, TN 37343

Reassigned Medicare billing, Georgia and Tennessee enrollments
17 clinicians in this Medicare group

NPI 1346250057 (423) 497-5355

Bradley Physician Services, LLC

20 mi

Orthopaedic Surgery of the Spine

2305 CHAMBLISS AVE NW
Cleveland, TN 37311

Reassigned Medicare billing, Tennessee enrollment
88 clinicians in this Medicare group

NPI 1710727540 (423) 728-1650

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

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.

DR. ALICIA RENEE ALLEN M.D.

Obstetrics & Gynecology