Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MORIAH NICOLE HOLLAWAY MD
NPI 1215516604
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is Moriah Hollaway's NPI number?

The NPI number for Moriah Hollaway is 1215516604. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Moriah Hollaway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Moriah Hollaway was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.

Active since April 05, 2021PECOS Enrolled

4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205(501) 686-6627 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Moriah Nicole Hollaway Md NPPES

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

MORIAH NICOLE HOLLAWAY MD (NPI 1215516604) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215516604

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMORIAH NICOLE HOLLAWAYCredential: MD

Location Address4301 W MARKHAM ST # 520Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 520Little Rock, AR 72205-7101 · (501) 686-6627

Phone(501) 686-6627

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1215516604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST # 520, Little Rock, AR 72205

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moriah Nicole Hollaway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

SANDRA MINERVA GARCIA OSOGOBIO MD

Colon & Rectal Surgery