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DR. JACOB HARVEY HOLLEY III M.D.
NPI 1962842013
General Practice in Donalsonville, GA

Active since July 02, 2013PECOS Enrolled
214 CHERRY ST, DONALSONVILLE, GA 39845(229) 524-2232(229) 524-8766 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Sep 14, 2018 (2 updates tracked since 2018).

About Dr. Jacob Harvey Holley Iii M.d. NPPES

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

DR. JACOB HARVEY HOLLEY III M.D. (NPI 1962842013) is an individual general practice provider in Donalsonville, Georgia, licensed in Georgia (81053) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Donalsonville Hospital Inc, and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1962842013
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JACOB HARVEY HOLLEY IIICredential: M.D.
Location Address214 CHERRY STDonalsonville, GA 39845-1616
Mailing Address101 E Wood StSpartanburg, SC 29303-3040 · (229) 254-1857
Phone(229) 524-2232
Fax(229) 524-8766
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateJuly 2, 2013
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1962842013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 81053
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 36063 (SC)
214 CHERRY ST, Donalsonville, GA 39845
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 E Wood StSpartanburg, SC 29303-3040 · Phone (864) 560-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Harvey Holley Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901032085
PECOS Enrollment IDI20181022001718
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Donalsonville Hospital Inc

Acute Care Hospitals · Donalsonville, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110194
Location102 Hospital CirDonalsonville, GA 39845 · Seminole County
Emergency services

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.

JEFFREY N HOLLEY MD PC
Legal Medicine
214 CHERRY ST
DONALSONVILLE, GA 39845
Seminole County (229) 524-2232
JEFFREY NEAL HOLLEY MD
Family Medicine
214 CHERRY ST
DONALSONVILLE, GA 39845
Seminole County (229) 524-2232

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 Jacob Holley's NPI number?

The NPI number for Jacob Holley is 1962842013. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Jacob Holley located?

Jacob Holley practices at 214 Cherry St, Donalsonville, GA 39845. The listed phone number is (229) 524-2232.

What is Jacob Holley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jacob Holley enrolled in Medicare?

Yes. Jacob Holley is registered in the Medicare PECOS enrollment system.

Is Jacob Holley affiliated with any hospitals?

According to CMS data, Jacob Holley is affiliated with Donalsonville Hospital Inc.

When was this NPI record last updated?

The NPPES record for Jacob Holley was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.