AMANDA HOLLOWAY
NPI 1114385598
Counselor - Professional in Riverdale, GA

Active since February 01, 2016PECOS Enrolled
150 MEDICAL WAY, RIVERDALE, GA 30274(404) 709-8373 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Holloway NPPES

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

AMANDA HOLLOWAY (NPI 1114385598) is an individual professional provider in Riverdale, Georgia, licensed in Georgia (LPC008361) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114385598
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA HOLLOWAY
Location Address150 MEDICAL WAYRiverdale, GA 30274-2533
Mailing Address150 Medical WayRiverdale, GA 30274-2533 · (404) 709-8373
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 1, 2016
NPI 1114385598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC008361
150 MEDICAL WAY, Riverdale, GA 30274

Other Identifiers 1

Other13678783GA · Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Holloway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981040102
PECOS Enrollment IDI20240311002500
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.

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Rheumatology)
150 MEDICAL WAY, SUITE B 1
RIVERDALE, GA 30274
Internal Medicine (Rheumatology)
150 MEDICAL WAY, SUITE B - 1
RIVERDALE, GA 30274
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Physical Therapist
150 MEDICAL WAY, SUITE E1
RIVERDALE, GA 30274
Physical Therapist
150 MEDICAL WAY, SUITE E1
RIVERDALE, GA 30274

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 Amanda Holloway's NPI number?

The NPI number for Amanda Holloway is 1114385598. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Amanda Holloway located?

Amanda Holloway practices at 150 Medical Way, Riverdale, GA 30274. The listed phone number is (404) 709-8373.

What is Amanda Holloway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Holloway enrolled in Medicare?

Yes. Amanda Holloway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Holloway was last updated on February 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.