HOLLY SURRENCY NP
NPI 1104261916
Nurse Practitioner - Primary Care in Aiken, SC
About Holly Surrency Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY SURRENCY NP (NPI 1104261916) is an individual primary care provider in Aiken, South Carolina, licensed in South Carolina (17794) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Surrency Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Surrency reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aiken, SC 29803
- Reassigned Medicare billing, South Carolina enrollment
- 5 clinicians in this Medicare group
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 29801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Holly Surrency's NPI number?
The NPI number for Holly Surrency is 1104261916. It was assigned to this individual provider in the NPPES registry on May 7, 2013.
Where is Holly Surrency located?
Holly Surrency practices at 216 Edgefield Ave NW, Aiken, SC 29801. The listed phone number is (803) 648-4224.
What is Holly Surrency's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Holly Surrency enrolled in Medicare?
Yes. Holly Surrency is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Surrency's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Surrency reassigns Medicare benefits to University Medical Associates Of Aiken PA (Aiken, SC). The 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 Holly Surrency's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Holly Surrency was last updated on March 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Holly Surrency, NP · NPI 1104261916
Primary Care physician in Aiken, South Carolina. Individual provider, active in the CMS NPPES registry since May 7, 2013.
## Identity
- **NPI:** 1104261916 (Entity type: Individual)
- **Enumerated:** May 7, 2013
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 17794 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 216 EDGEFIELD AVE NW, Aiken, SC 29801-3910
- **Phone:** (803) 648-4224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Medical Associates Of Aiken PA (NPI 1770502734, Aiken, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104261916) · Data from the CMS NPPES public registry.