JEFFREY P HOLLOWAY M.D.
NPI 1376742411
Pediatrics - Sports Medicine in Columbia, SC

Q: What is Jeffrey Holloway's NPI number?

The NPI number for Jeffrey Holloway is 1376742411. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Jeffrey Holloway's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Holloway was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 17, 2007PECOS Enrolled

9 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203(803) 434-6155(803) 434-3855 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jun 10, 2025, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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About Jeffrey P Holloway M.d. NPPES

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

JEFFREY P HOLLOWAY M.D. (NPI 1376742411) is an individual sports medicine provider in Columbia, South Carolina, licensed in South Carolina (29756) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1376742411

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameJEFFREY P HOLLOWAYCredential: M.D.

Location Address9 RICHLAND MEDICAL PARK DR STE 300Columbia, SC 29203-6869

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(803) 434-6155

Fax(803) 434-3855

Sole ProprietorNo

Enumeration DateJuly 17, 2007

Last NPPES UpdateJune 18, 20254 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1376742411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in SC · 29756

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 29756 (SC)

Also ListedPediatricsTaxonomy 208000000X · License 29756 (SC)

9 RICHLAND MEDICAL PARK DR STE 300, Columbia, SC 29203

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Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 100Columbia, SC 29203-6847 · Phone (803) 434-2221 · Fax (803) 758-0139

Other Identifiers 2

Medicaid297562SC

OtherAA69552389SC · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey P Holloway M.d. 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 15

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

DR. SARAH ALLEN BARNES MD

Pediatrics