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DALE CRAWFORD HOLLY MD
NPI 1053393579
Internal Medicine - Gastroenterology in Atlanta, GA

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
80.27/100
CMS Quality Rating
1800 HOWELL MILL RD NW, SUITE 600, ATLANTA, GA 30318(404) 351-9512(404) 351-9815 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dale Crawford Holly Md NPPES

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

DALE CRAWFORD HOLLY MD (NPI 1053393579) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (32335) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of Arkansas College Of Medicine (1988).

NPPES Registry Identity

NPI1053393579
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDALE CRAWFORD HOLLYCredential: MD
Location Address1800 HOWELL MILL RD NW, SUITE 600Atlanta, GA 30318-2538
Mailing Address1800 Howell Mill Rd Nw, Ste 600Atlanta, GA 30318-0920 · (404) 885-7701 · Fax (404) 885-7777
Phone(404) 351-9512
Fax(404) 351-9815
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1988
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 29, 2016
✔ NPI 1053393579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 32335
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1800 HOWELL MILL RD NW, Atlanta, GA 30318
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE35746GA
Medicare ID-Type Unspecified10BBCGFGA
Medicaid00463295DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter 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 and accepts Medicare assignment

Dale Crawford Holly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658416904
PECOS Enrollment IDI20250925000519
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services119 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
63 services62 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
54 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.87
Promoting Interoperability97
Improvement Activities40
Cost84.86

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.

PIEDMONT WEST AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
1800 HOWELL MILL RD NW, SUITE 250
ATLANTA, GA 30318
Fulton County (404) 317-2694
MRS. ANNE COMPTON SYMBAS NP-C
Nurse Practitioner (Family)
1800 HOWELL MILL RD NW, SUITE 680
ATLANTA, GA 30318
Fulton County (404) 352-1730
JOSEPH A JOHNSON PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1800 HOWELL MILL RD NW, SUITE 450
ATLANTA, GA 30318
Fulton County (404) 355-4393
MOREHOUSE HEALTHCARE, INC.
Internal Medicine
1800 HOWELL MILL RD NW, SUITE 275
ATLANTA, GA 30318
Fulton County (404) 756-1400
DIFRANCESCO PLASTIC SURGERY LLC
Surgery (Plastic and Reconstructive Surgery)
1800 HOWELL MILL RD NW, SUITE 400
ATLANTA, GA 30318
Fulton County (404) 377-3474
DR. LISA M. DIFRANCESCO M.D.
Plastic Surgery
1800 HOWELL MILL RD NW, SUITE 400
ATLANTA, GA 30318
Fulton County (404) 377-3474
MS. CATHERINE V FRANCIN PA-C
Physician Assistant
1800 HOWELL MILL RD NW, SUITE 600
ATLANTA, GA 30318
Fulton County (404) 351-9512
DR. PAUL C DAVIDSON MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1800 HOWELL MILL RD NW, SUITE 450
ATLANTA, GA 30318
Fulton County (404) 355-4393

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 Dale Holly's NPI number?

The NPI number for Dale Holly is 1053393579. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Dale Holly located?

Dale Holly practices at 1800 Howell Mill Rd NW Suite 600, Atlanta, GA 30318. The listed phone number is (404) 351-9512.

What is Dale Holly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dale Holly enrolled in Medicare?

Yes. Dale Holly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dale Holly accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Dale Holly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dale Holly affiliated with any hospitals?

According to CMS data, Dale Holly is affiliated with Piedmont Hospital, Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital and Page Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Dale Holly was last updated on December 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.