HOLLY ELY CRNA
NPI 1801415872
Nurse Anesthetist, Certified Registered in Carrollton, GA
About Holly Ely Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ELY CRNA (NPI 1801415872) is an individual nurse anesthetist, certified registered in Carrollton, Georgia, licensed in Georgia (GAA-CRNA003198) and active in the NPI registry since April 2020. She is affiliated with Tanner Medical Center - Carrollton and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly Ely Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Holly Ely reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carrollton, GA 30117
- Reassigned Medicare billing, Georgia enrollment
- 121 clinicians in this Medicare group
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tanner Medical Center - Carrollton
Acute Care Hospitals · Carrollton, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARROLLTON, GA 30117
CARROLLTON, GA 30117
CARROLLTON, GA 30117
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 Ely's NPI number?
The NPI number for Holly Ely is 1801415872. It was assigned to this individual provider in the NPPES registry on April 10, 2020.
Where is Holly Ely located?
Holly Ely practices at 705 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 812-9666.
What is Holly Ely's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Holly Ely enrolled in Medicare?
Yes. Holly Ely 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.
Which organizations bill Medicare for Holly Ely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Ely reassigns Medicare benefits to 2 organizations: Tmc-West Georgia Anesthesia Associates Inc. (Carrollton, GA) and Lake Norman Anesthesia Associates (Mooresville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Ely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Ely affiliated with any hospitals?
According to CMS data, Holly Ely is affiliated with Tanner Medical Center - Carrollton.
When was this NPI record last updated?
The NPPES record for Holly Ely was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holly Ely, CRNA · NPI 1801415872
Nurse Anesthetist, Certified Registered physician in Carrollton, Georgia. Individual provider, active in the CMS NPPES registry since April 10, 2020.
## Identity
- **NPI:** 1801415872 (Entity type: Individual)
- **Enumerated:** April 10, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** GAA-CRNA003198 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 705 DIXIE ST, Carrollton, GA 30117-3818
- **Phone:** (770) 812-9666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tmc-West Georgia Anesthesia Associates Inc. (NPI 1740252022, Carrollton, GA); Lake Norman Anesthesia Associates (NPI 1386753457, Mooresville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801415872) · Data from the CMS NPPES public registry.