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MR. JONATHAN DWAYNE HOLIDAY LADC II
NPI 1629849427
Counselor - Addiction (Substance Use Disorder) in Smyrna, TN

Active since January 10, 2024PECOS Enrolled
4330 FREEMARK DR, SMYRNA, TN 37167(615) 604-6988 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Jul 24, 2024 (2 updates tracked since 2024).

About Mr. Jonathan Dwayne Holiday Ladc Ii NPPES

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

MR. JONATHAN DWAYNE HOLIDAY LADC II (NPI 1629849427) is an individual addiction (substance use disorder) provider in Smyrna, Tennessee, licensed in Tennessee (LDC0000001255) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629849427
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JONATHAN DWAYNE HOLIDAYCredential: LADC II
Location Address4330 FREEMARK DRSmyrna, TN 37167-8417
Mailing Address4330 Freemark DrSmyrna, TN 37167-8417 · (615) 604-6988
Phone(615) 604-6988
Sole ProprietorNo
Enumeration DateJanuary 10, 2024
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1629849427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TN · LDC0000001255
4330 FREEMARK DR, Smyrna, TN 37167
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Dwayne Holiday Ladc Ii 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.

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 Jonathan Holiday's NPI number?

The NPI number for Jonathan Holiday is 1629849427. It was assigned to this individual provider in the NPPES registry on January 10, 2024.

Where is Jonathan Holiday located?

Jonathan Holiday practices at 4330 Freemark Dr, Smyrna, TN 37167. The listed phone number is (615) 604-6988.

What is Jonathan Holiday's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jonathan Holiday enrolled in Medicare?

Yes. Jonathan Holiday is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Holiday accept?

Health plans from Providence Health Plan list Jonathan Holiday 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.

When was this NPI record last updated?

The NPPES record for Jonathan Holiday was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.