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MRS. STACIE DIANNE HOLLOWAY FNP-BC
NPI 1598048894
Nurse Practitioner in Atlanta, GA

Active since September 22, 2011PECOS EnrolledAccepts Medicare Assignment
1100 JOHNSON FY RD NE, ATLANTA, GA 30342(404) 851-6284 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Feb 18, 2025, Dec 20, 2024 and 1 more (4 updates tracked since 2022).

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

NPI1598048894
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. STACIE DIANNE HOLLOWAYCredential: FNP-BC
Location Address1100 JOHNSON FY RD NEAtlanta, GA 30342-1709
Mailing Address131 Bushy Head RdCherry Log, GA 30522 · (662) 882-3722
Phone(404) 851-6284
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 22, 2011
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1598048894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN333566
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R871001 (MS)
1100 JOHNSON FY RD NE, Atlanta, GA 30342
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Other Names 1

Former Name (1)Ms. Stacie Ward Evans Fnp-bc

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7719152347
PECOS Enrollment IDI20250604002724
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.

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, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician 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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

JILL TANENBAUM CIERNY M.D.
Obstetrics & Gynecology
1100 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 252-1137
KEITH S MOORE M.D.
Surgery
1100 JOHNSON FY RD NE, SUITE 165
ATLANTA, GA 30342
Fulton County (404) 446-2800
KNOX YOUNG
Student in an Organized Health Care Education/Training Program
1100 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 300-2476
MRS. SUSAN HYLAND WHNP-BC
Nurse Practitioner (Women's Health)
1100 JOHNSON FY RD NE
ATLANTA, GA 30342
Fulton County (404) 257-1900
KATHERINE GRACE WUNDERLE CNM, ARNP
Advanced Practice Midwife
1100 JOHNSON FY RD NE, ST 800
ATLANTA, GA 30342
Fulton County (404) 252-1137
DR. JAMES D FONGER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 JOHNSON FY RD NE, STE 165
ATLANTA, GA 30342
Fulton County (404) 446-2800
DANIELLE KUTHURU CRNP
Nurse Practitioner (Family)
1100 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Fulton County (404) 843-4182
MICHAEL ONEIL
Technician/Technologist (Ophthalmic Assistant)
1100 JOHNSON FY RD NE
SANDY SPRINGS, GA 30342
Fulton County (404) 255-9096

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.

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 17 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.