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KEVIN M HOLLOWAY MD
NPI 1114107810
Internal Medicine in Cordele, GA

Active since November 09, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 11D1093633 · Microscopy
415 E 4TH AVE STE B, CORDELE, GA 31015(229) 276-2190(229) 276-3639 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Feb 2, 2026, Feb 26, 2021 (3 updates tracked since 2021).

About Kevin M Holloway Md NPPES

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

KEVIN M HOLLOWAY MD (NPI 1114107810) is an individual internal medicine provider in Cordele, Georgia, licensed in Georgia (60593) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 28, 2026, and is affiliated with Crisp Regional Hospital.

NPPES Registry Identity

NPI1114107810
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN M HOLLOWAYCredential: MD
Location Address415 E 4TH AVE STE BCordele, GA 31015-0614
Mailing Address415 E 4th Ave Ste BCordele, GA 31015-0614 · (229) 276-2190 · Fax (229) 276-3639
Phone(229) 276-2190
Fax(229) 276-3639
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2005
Enumeration DateNovember 9, 2007
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1114107810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 60593
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.
415 E 4TH AVE STE B, Cordele, GA 31015
Open in Google Maps ↗

Other Identifiers 2

Medicaid792796970BGA
Medicaid792796970KGA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin M Holloway 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 ID2860563962
PECOS Enrollment IDI20080617000741
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

3

Medicare enrollment records show Kevin Holloway reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holloway Internal Medicine
Same address
Internal Medicine
415 E 4TH AVE STE B
Cordele, GA 31015
  • Reassigned Medicare billing, Georgia enrollment
NPI 1023908977 (229) 276-2190
Crisp Regional Hospital Inc
0.4 mi
General Acute Care Hospital
902 7TH ST NORTH
Cordele, GA 31010
  • Reassigned Medicare billing, Georgia enrollment
  • 124 clinicians in this Medicare group
NPI 1700851649 (229) 271-9686
Peachtree Immediate Care Fp, LLC
144 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D1093633

Kevin M Holloway MD · Cordele, GA
Active · expires Dec 28, 2026
CLIA Number11D1093633
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorKevin M. Holloway MD
Laboratory Phone(229) 276-2190
Laboratory LocationKevin M Holloway MD110 4th Avenue East, Cordele, GA 31015
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 7

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.
303 services94 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
36 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110104
Location902 7th Street NorthCordele, GA 31015 · Crisp County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31015 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims24 services$4.54 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

HOLLOWAY INTERNAL MEDICINE
Internal Medicine
415 E 4TH AVE STE B
CORDELE, GA 31015
Crisp County (229) 276-2190
DR. DON T SMITH JR. MD
Anesthesiology
415 E 4TH AVE STE B
CORDELE, GA 31015
Crisp County (229) 391-2910
SWGA FOOT & ANKLE CENTER
Podiatrist (Primary Podiatric Medicine)
415 E 4TH AVE STE B
CORDELE, GA 31015
Crisp County (229) 273-0140

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 Kevin Holloway's NPI number?

The NPI number for Kevin Holloway is 1114107810. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Kevin Holloway located?

Kevin Holloway practices at 415 E 4th Ave Ste B, Cordele, GA 31015. The listed phone number is (229) 276-2190.

What is Kevin Holloway's specialty?

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

Is Kevin Holloway enrolled in Medicare?

Yes. Kevin Holloway 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.

Which organizations bill Medicare for Kevin Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Holloway reassigns Medicare benefits to 3 organizations: Holloway Internal Medicine (Cordele, GA), Crisp Regional Hospital Inc (Cordele, GA) and Peachtree Immediate Care Fp, LLC (Hiram, GA). Each 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 Kevin Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Kevin Holloway hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1093633) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kevin Holloway 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 Kevin Holloway 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 Kevin Holloway affiliated with any hospitals?

According to CMS data, Kevin Holloway is affiliated with Crisp Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Holloway was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.