MRS. STACIE DIANNE HOLLOWAY FNP-BC
NPI 1598048894
Nurse Practitioner in Atlanta, GA
About Mrs. Stacie Dianne Holloway Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACIE DIANNE HOLLOWAY FNP-BC (NPI 1598048894) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (RN333566) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacie Dianne Holloway Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Stacie Holloway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 487 clinicians in this Medicare group
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
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 Stacie Holloway's NPI number?
The NPI number for Stacie Holloway is 1598048894. It was assigned to this individual provider in the NPPES registry on September 22, 2011. The provider is also known as Ms. Stacie Ward Evans Fnp-Bc.
Where is Stacie Holloway located?
Stacie Holloway practices at 1100 Johnson Fy Rd NE, Atlanta, GA 30342. The listed phone number is (404) 851-6284.
What is Stacie Holloway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stacie Holloway enrolled in Medicare?
Yes. Stacie Holloway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stacie Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Holloway reassigns Medicare benefits to 2 organizations: Northside Surgical Professional Services LLC (Atlanta, GA) and Williamson Medical Group, LLC (Franklin, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacie Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Holloway accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stacie Holloway 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.
Is Stacie Holloway affiliated with any hospitals?
According to CMS data, Stacie Holloway is affiliated with Northside Hospital Forsyth and Northside Hospital.
When was this NPI record last updated?
The NPPES record for Stacie Holloway was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mrs. Stacie Dianne Holloway, FNP-BC · NPI 1598048894
Nurse Practitioner physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 22, 2011.
## Identity
- **NPI:** 1598048894 (Entity type: Individual)
- **Enumerated:** September 22, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN333566 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 JOHNSON FY RD NE, Atlanta, GA 30342-1709
- **Phone:** (404) 851-6284
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northside Surgical Professional Services LLC (NPI 1356630990, Atlanta, GA); Williamson Medical Group, LLC (NPI 1366872053, Franklin, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1598048894) · Data from the CMS NPPES public registry.