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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HOLON HEALTH GREAT LAKES, P.C.
NPI 1194414805
Family Medicine in Glen Allen, VA

Active since May 08, 2023CLIA Certified · 11 labs
11551 NUCKOLS RD STE R, GLEN ALLEN, VA 23059(877) 465-6650(804) 294-2775 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Mar 18, 2026, Sep 19, 2025 and 5 more (8 updates tracked since 2023).

About Holon Health Great Lakes, P.c. NPPES

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

HOLON HEALTH GREAT LAKES, P.C. (NPI 1194414805), doing business as Holon Health, is a healthcare organization registered as a family medicine in Glen Allen, Virginia and active in the NPI registry since May 2023. The organization holds 11 active CLIA laboratory certificates, maintains 10 additional practice locations, and lists Jason Herzog, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194414805
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLON HEALTH GREAT LAKES, P.C.
Location Address11551 NUCKOLS RD STE RGlen Allen, VA 23059-5565
Mailing Address3540 Pump Rd # 1188Richmond, VA 23233-1115 · (877) 754-4694 · Fax (804) 294-2775
Phone(877) 465-6650
Fax(804) 294-2775
Organization SubpartNo
Authorized OfficialJason HerzogCeo · (877) 754-4694
Enumeration DateMay 8, 2023
Last NPPES UpdateJuly 9, 20268 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1194414805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedNurse PractitionerTaxonomy 363L00000X
11551 NUCKOLS RD STE R, Glen Allen, VA 23059
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Other Names 1

Doing Business AsHolon Health

Secondary Practice Locations 10

Location 1117 S Lexington St Ste 100Harrisonville, MO 64701-2444 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 21902 N Date St Ste 100Truth OR Consequences, NM 87901-3701 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 34539 N 22nd St Ste NPhoenix, AZ 85016-4639 · Phone (877) 465-6650 · Fax (804) 924-2775
Location 45534 Saint Joe RdFort Wayne, IN 46835-3328 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 51209 Mountain Road Pl NE Ste NAlbuquerque, NM 87110-7845 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 62222 W Grand River Ave Ste AOkemos, MI 48864-1604 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 78401 Mayland Dr Ste ARichmond, VA 23294-4648 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 8116 Agnes Rd Ste 200Knoxville, TN 37919-6306 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 9212 N 2nd St Ste 100Richmond, KY 40475-1408 · Phone (877) 465-6650 · Fax (804) 294-2775
Location 104030 Wake Forest Rd Ste 349Raleigh, NC 27609-0010 · Phone (877) 465-6650 · Fax (804) 294-2775

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 11

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 of Waiver 49D2332301

Holon Health Great Lakes, PC · Richmond, VA
Active · expires Oct 16, 2027
CLIA Number49D2332301
Laboratory TypeTransitional Housing
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Traci Sweet Dr
Laboratory Phone(877) 754-4694
Laboratory LocationHolon Health Great Lakes, PC211 E Leigh Street, Richmond, VA 23219
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2332303

Holon Health Great Lakes, PC · Richmond, VA
Active · expires Oct 16, 2027
CLIA Number49D2332303
Laboratory TypeTransitional Housing
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Traci Sweet Dr
Laboratory Phone(877) 754-4694
Laboratory LocationHolon Health Great Lakes, PC3220 Enslow Ave, Richmond, VA 23222
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2332305

Holon Health Great Lakes, PC · Richmond, VA
Active · expires Oct 16, 2027
CLIA Number49D2332305
Laboratory TypeTransitional Housing
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorTraci Sweet
Laboratory Phone(877) 754-4694
Laboratory LocationHolon Health Great Lakes, PC1839 Thomas St, Richmond, VA 23220
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2332309

Holon Health Great Lakes, PC · Richmond, VA
Active · expires Oct 16, 2027
CLIA Number49D2332309
Laboratory TypeTransitional Housing
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Traci Sweet Dr
Laboratory Phone(877) 754-4694
Laboratory LocationHolon Health Great Lakes, PC2201 Dinwiddie Ave, Richmond, VA 23224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2332312

Holon Health Great Lakes, PC · Richmond, VA
Active · expires Oct 16, 2027
CLIA Number49D2332312
Laboratory TypeTransitional Housing
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Traci Sweet Dr
Laboratory Phone(877) 754-4694
Laboratory LocationHolon Health Great Lakes, PC1119 N 27th St, Richmond, VA 23223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2332314

Holon Health Great Lakes, PC · Richmond, VA
Active · expires Oct 16, 2027
CLIA Number49D2332314
Laboratory TypeTransitional Housing
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Traci Sweet Dr
Laboratory Phone(877) 754-4694
Laboratory LocationHolon Health Great Lakes, PC2812 North Ave, Richmond, VA 23222
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BEHAVIORAL SUPPORT SYSTEMS OF VA
Community/Behavioral Health
11551 NUCKOLS RD STE R
GLEN ALLEN, VA 23059
Hanover County (804) 591-6732

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 Holon Health Great Lakes, P.C.'s NPI number?

The NPI number for Holon Health Great Lakes, P.C. is 1194414805. It was assigned to this organization in the NPPES registry on May 8, 2023. The provider is doing business as Holon Health.

Where is Holon Health Great Lakes, P.C. located?

Holon Health Great Lakes, P.C. is located at 11551 Nuckols Rd Ste R, Glen Allen, VA 23059. The listed phone number is (877) 465-6650.

What is Holon Health Great Lakes, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Holon Health Great Lakes, P.C. hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Holon Health Great Lakes, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holon Health Great Lakes, P.C. 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.

When was this NPI record last updated?

The NPPES record for Holon Health Great Lakes, P.C. was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.