MRS. HOLLI KERVIN JOHNSTON NP
NPI 1730607672
Nurse Practitioner - Family in Greenville, SC

Q: What is Holli Johnston's NPI number?

The NPI number for Holli Johnston is 1730607672. It was assigned to this individual provider in the NPPES registry on August 30, 2017. The provider is also known as Mrs. Holli Kervin Johnson Np.

Q: What is Holli Johnston'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 Holli Johnston was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 30, 2017PECOS Enrolled

2 BELLA GROVE DR, GREENVILLE, SC 29607(864) 603-5600 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2021, Feb 3, 2021, Sep 1, 2020 and 1 more (4 updates tracked since 2017).

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About Mrs. Holli Kervin Johnston Np NPPES

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

MRS. HOLLI KERVIN JOHNSTON NP (NPI 1730607672) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (28838) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730607672

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. HOLLI KERVIN JOHNSTONCredential: NP

Location Address2 BELLA GROVE DRGreenville, SC 29607

Mailing Address6490 Memphis Arlington Rd Ste 106Bartlett, TN 38135-7439 · (901) 762-1531 · Fax (901) 762-1532

Phone(864) 603-5600

Sole ProprietorNo

Enumeration DateAugust 30, 2017

Last NPPES UpdateOctober 28, 20244 updates tracked since enumeration

NPPES CertifiedOctober 22, 2024

✔ NPI 1730607672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 28838✔ Licensed in TN · 23571

Also ListedNurse PractitionerTaxonomy 363L00000X · License 00000000000000 (VA)

2 BELLA GROVE DR, Greenville, SC 29607

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Other Names 1

Former Name (1)Mrs. Holli Kervin Johnson Np

Secondary Practice Locations 3

Location 14772 Navy Rd Ste AMillington, TN 38053-1927 · Phone (901) 873-0930 · Fax (901) 873-0931

Location 26490 Memphis Arlington Rd Ste 106Bartlett, TN 38135-7439 · Phone (901) 762-1531 · Fax (901) 762-1532

Location 31990 Holton Ave EBig Stone Gap, VA 24219-3350 · Phone (276) 523-3111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Holli Kervin Johnston Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Holli Johnston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

App Of Tennessee Ed, PLLC

113 mi

Emergency Medicine

907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804

Reassigned Medicare billing, Virginia enrollment
60 clinicians in this Medicare group

NPI 1003230236 (865) 983-7211

Musc Affiliate Physicians

196 mi

Family Medicine

171 ASHLEY AVE
Charleston, SC 29425

Reassigned Medicare billing, South Carolina enrollment
140 clinicians in this Medicare group

NPI 1548849482 (843) 792-1414

Signify Health, LLC

844 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Virginia enrollment
501 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 13

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

KATHERINE SHAW HARDYMON MD

Family Medicine