Mr Parker Jewell Holloway Iv, - Medicare Anesthesiologist Assistant in Atlanta, GA

Mr Parker Jewell Holloway Iv, is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. His current practice location is 1000 Johnson Ferry Rd Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 645-5102.

Mr Parker Jewell Holloway Iv is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497019160.

Contact Information

Mr Parker Jewell Holloway Iv,
1000 Johnson Ferry Rd Ne,
Atlanta, GA 30342-1606
(770) 645-5102
Not Available



Provider's Profile

Full NameMr Parker Jewell Holloway Iv
GenderMale
SpecialityAnesthesiologist Assistant
Location1000 Johnson Ferry Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497019160
  • Provider Enumeration Date: 06/27/2012
  • Last Update Date: 06/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4688826076
  • Enrollment ID: I20121211000401

Medical Identifiers

Medical identifiers for Mr Parker Jewell Holloway Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497019160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Parker Jewell Holloway Iv allows following entities to bill medicare on his behalf.
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775

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Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563

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Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283

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Entity NameNorth Atlanta Anesthesia Professionals, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982349296
PECOS PAC ID: 5496134348
Enrollment ID: O20220623000371

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Parker Jewell Holloway Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Parker Jewell Holloway Iv,
3155 N Point Pkwy, #100,
Alpharetta, GA 30005-5481

Ph: () -
Mr Parker Jewell Holloway Iv,
1000 Johnson Ferry Rd Ne,
Atlanta, GA 30342-1606

Ph: (770) 645-5102

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› Verified 4 days ago


Anesthesiologist Assistant Nurses in Atlanta, GA

Matthew Lewis, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322
Phone: 404-785-6670    Fax: 404-785-1362
Elizabeth Ikeda,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-778-8311    
Amar R Herndon,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    
Shelley S Staton, PAAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Mr. Grant Michael Mury, PAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308
Phone: 404-778-3900    
Ashley Schade, PAAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342
Phone: 706-543-3449    
Jiaqi Tracy Li, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342
Phone: 404-785-2008    Fax: 404-785-4496

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