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HOLLY JOHNSON LTC, PLLC
NPI 1114426756
Nurse Practitioner - Primary Care in Tyler, TX

Active since February 09, 2018
5505 NEW COPELAND RD, TYLER, TX 75703(903) 705-0202 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2019, Jun 21, 2018 (2 updates tracked since 2018).

About Holly Johnson Ltc, Pllc NPPES

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

HOLLY JOHNSON LTC, PLLC (NPI 1114426756) is a healthcare organization registered as a primary care in Tyler, Texas and active in the NPI registry since February 2018. The organization lists Holly M Augustus, Owner/employee, as its authorized official.

NPPES Registry Identity

NPI1114426756
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHOLLY JOHNSON LTC, PLLC
Location Address5505 NEW COPELAND RDTyler, TX 75703-3955
Mailing Address608 Monroe StJacksonville, TX 75766-4342 · (903) 721-0865
Phone(903) 705-0202
Organization SubpartNo
Authorized OfficialHolly M AugustusOwner/employee · (903) 721-0865
Enumeration DateFebruary 9, 2018
Last NPPES UpdateJune 14, 20192 updates tracked since enumeration
✔ NPI 1114426756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP136353
5505 NEW COPELAND RD, Tyler, TX 75703
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

LAYNE HEALTHCARE, PLLC
Skilled Nursing Facility
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 316-4537
JULIE SHEA ELLIOTT
Occupational Therapist
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 939-2433
MRS. JENNIFER M WASHINGTON PTA
Physical Therapy Assistant
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (855) 840-7257
MRS. KATHRYN HOPE JOHNSON
Occupational Therapy Assistant
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 939-2443
SUSAN DAILEY COTA
Occupational Therapy Assistant
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 939-2443
CHONA LABRADOR PT
Physical Therapist
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 939-2443
HOPKINS COUNTY HOSPITAL DISTRICT
Skilled Nursing Facility
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 939-2443
LACY SWOAPE
Physical Medicine & Rehabilitation
5505 NEW COPELAND RD
TYLER, TX 75703
Smith County (903) 939-2443

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 Johnson Ltc, PLLC's NPI number?

The NPI number for Holly Johnson Ltc, PLLC is 1114426756. It was assigned to this organization in the NPPES registry on February 9, 2018.

Where is Holly Johnson Ltc, PLLC located?

Holly Johnson Ltc, PLLC is located at 5505 New Copeland Rd, Tyler, TX 75703. The listed phone number is (903) 705-0202.

What is Holly Johnson Ltc, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Holly Johnson Ltc, PLLC was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.