KIMBERLY HOLLIS FNP
NPI 1861967564
Nurse Practitioner - Family in Statesboro, GA

Q: What is Kimberly Hollis's NPI number?

The NPI number for Kimberly Hollis is 1861967564. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Q: What is Kimberly Hollis'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 Kimberly Hollis was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 09, 2018PECOS Enrolled

1525 FAIR RD STE 105A, STATESBORO, GA 30458(276) 591-0818(912) 259-9509 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Nov 7, 2024, Nov 16, 2021 and 1 more (4 updates tracked since 2018).

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About Kimberly Hollis Fnp NPPES

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

KIMBERLY HOLLIS FNP (NPI 1861967564) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN281463) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861967564

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY HOLLISCredential: FNP

Location Address1525 FAIR RD STE 105AStatesboro, GA 30458-6118

Mailing Address1525 Fair Rd Ste 105aStatesboro, GA 30458-6118 · (276) 591-0818

Phone(276) 591-0818

Fax(912) 259-9509

Sole ProprietorNo

Enumeration DateOctober 9, 2018

Last NPPES UpdateMay 14, 20254 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1861967564 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

Licenses✔ Licensed in GA · RN281463✔ Licensed in FL · APRN11013778

1525 FAIR RD STE 105A, Statesboro, GA 30458

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Hollis 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 30458 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.

Other Providers at the Same Location NPPES 2

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

NUMI WELLNESS AND DIABETES CENTER LLC

Family Medicine

1525 FAIR RD STE 105A
STATESBORO, GA 30458

Bulloch County (276) 591-8383

DR. JASON BOYD HOLLIS D.O.

Family Medicine

1525 FAIR RD STE 105A
STATESBORO, GA 30458

Bulloch County (276) 591-8383

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 Kimberly Hollis's NPI number?

The NPI number for Kimberly Hollis is 1861967564. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Kimberly Hollis located?

Kimberly Hollis practices at 1525 Fair Rd Ste 105A, Statesboro, GA 30458. The listed phone number is (276) 591-0818.

What is Kimberly Hollis's specialty?

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

Is Kimberly Hollis enrolled in Medicare?

Yes. Kimberly Hollis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Hollis was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.