NIKOLAS HOLLOWAY
NPI 1477218352
Student in an Organized Health Care Education/Training Program in Augusta, GA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since November 04, 2021PECOS Enrolled

1469 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-7005 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nikolas Holloway NPPES

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

NIKOLAS HOLLOWAY (NPI 1477218352) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477218352

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNIKOLAS HOLLOWAY

Location Address1469 LANEY WALKER BLVDAugusta, GA 30912-1458

Mailing Address1469 Laney Walker BlvdAugusta, GA 30912-0002 · (706) 721-7005

Phone(706) 721-7005

Sole ProprietorNo

Enumeration DateNovember 4, 2021

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1477218352 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.

1469 LANEY WALKER BLVD, Augusta, GA 30912

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikolas Holloway 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.