MS. HOLLY LAVENDER FNP
NPI 1639535628
Nurse Practitioner - Family in Perry, GA

Q: What is Holly Lavender's NPI number?

The NPI number for Holly Lavender is 1639535628. It was assigned to this individual provider in the NPPES registry on January 7, 2016. The provider is also known as Holly E Clements.

Q: What is Holly Lavender's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Lavender was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since January 07, 2016PECOS Enrolled

1016 KEITH DR, PERRY, GA 31069(478) 988-1515(478) 988-1550 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Holly Lavender Fnp NPPES

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

MS. HOLLY LAVENDER FNP (NPI 1639535628) is an individual family provider in Perry, Georgia, licensed in Georgia (RN184680) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639535628

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. HOLLY LAVENDERCredential: FNP

Location Address1016 KEITH DRPerry, GA 31069

Mailing Address1016 Keith DrPerry, GA 31069 · (478) 988-1515 · Fax (478) 988-1550

Phone(478) 988-1515

Fax(478) 988-1550

Sole ProprietorNo

Enumeration DateJanuary 7, 2016

✔ NPI 1639535628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN184680

1016 KEITH DR, Perry, GA 31069

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Other Names 1

Former Name (1)Holly E Clements

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Holly Lavender Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31069 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier21 claims21 services$4.32 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers20 claims20 services$205.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SARAH COXWELL HARRIS FNP-C

Nurse Practitioner (Family)

1016 KEITH DR
PERRY, GA 31069

Houston County (478) 988-1515

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 Holly Lavender's NPI number?

The NPI number for Holly Lavender is 1639535628. It was assigned to this individual provider in the NPPES registry on January 7, 2016. The provider is also known as Holly E Clements.

Where is Holly Lavender located?

Holly Lavender practices at 1016 Keith Dr, Perry, GA 31069. The listed phone number is (478) 988-1515.

What is Holly Lavender's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Lavender enrolled in Medicare?

Yes. Holly Lavender is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Lavender was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.