DR. DAWNETTA JANENE HOLLADAY M.D. NPI 1619958790

NPI Information

NPI: 1619958790
Provider Name: DR. DAWNETTA JANENE HOLLADAY, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
1620 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 549-8114
Get Directions

DR. Dawnetta Janene Holladay, M.D. is an interventional pain medicine pain medicine in Athens, GA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Dawnetta Janene Holladay, M.D. NPI is 1619958790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1620 PRINCE AVE
ATHENS, GA
ZIP 30606-008
Phone: (706) 549-8114
Fax: (706) 549-0151

The NPI 1619958790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 9/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LA0401X	Anesthesiology	Addiction Medicine	37199	GEORGIA	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	037199	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	990009079	OTHER	GEORGIA	RAILROAD MEDICARE
2	3557650	OTHER	GEORGIA	CIGNA
3	455887	OTHER	GEORGIA	WELLCARE
4	800612	OTHER	GEORGIA	BLUE CROSS
5	123000100	OTHER	GEORGIA	US DEPT OF LABOR W/C
6	000572921	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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