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

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: August 16, 2026.

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.

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.

ANSLEY WILSON SMITH DO
Pediatrics
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
LESLEE MELISSA BAKER MD
Pediatrics
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
AARON T TEKLESENBET
Student in an Organized Health Care Education/Training Program
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
WILLIAM HARRIS MALOY MD
Student in an Organized Health Care Education/Training Program
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
TYLER ALUISIO
Surgery
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (762) 375-4651
RENITA ANILKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
DR. BLAKE NICHOLAS JONES MD
Emergency Medicine
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005
GEORGE TOMY NARATADAM
Family Medicine
1469 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-7005

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 Nikolas Holloway's NPI number?

The NPI number for Nikolas Holloway is 1477218352. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Nikolas Holloway located?

Nikolas Holloway practices at 1469 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-7005.

What is Nikolas Holloway's specialty?

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

Is Nikolas Holloway enrolled in Medicare?

Yes. Nikolas Holloway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikolas Holloway was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.