DR. MICAH ANN HOLLOWAY MD
NPI 1629763172
Student in an Organized Health Care Education/Training Program in Greenville, NC

Q: What is Micah Holloway's NPI number?

The NPI number for Micah Holloway is 1629763172. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Micah Holloway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Micah Holloway was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2023PECOS Enrolled

2100 STANTONSBURG RD, GREENVILLE, NC 27834(308) 641-8308 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Micah Ann Holloway Md NPPES

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

DR. MICAH ANN HOLLOWAY MD (NPI 1629763172) is an individual student in an organized health care education/training program in Greenville, North Carolina and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629763172

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MICAH ANN HOLLOWAYCredential: MD

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (308) 641-8308

Phone(308) 641-8308

Sole ProprietorNo

Enumeration DateApril 10, 2023

NPPES CertifiedApril 10, 2023

✔ NPI 1629763172 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.

2100 STANTONSBURG RD, Greenville, NC 27834

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Micah Ann Holloway Md 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.

Leave this field empty