KEVIN M HOLLOWAY (MD) – Internal Medicine Physician, NPI 1114107810

KEVIN M HOLLOWAY (MD) is a healthcare provider. based in Cordele, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 60593 (GA). The NPI Number for KEVIN M HOLLOWAY (MD) is 1114107810

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN M HOLLOWAY (MD)
NPI
1114107810
Phone
(229) 276-2190
Address
108 E. FOURTH AVE.
Enumeration Date
9 November 2007
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2292762190
Graduation Year
2005 (21 years ago)
PAC ID
2860563962
Professional Enrollment ID
I20080617000741
Address ID
GA310150614CO415XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for KEVIN M HOLLOWAY (MD)

  • 108 E. FOURTH AVE.

    CORDELE, GA 31015

    Phone: (229) 276-2190

    Fax: (229) 276-2191

    Type: Mailing

  • 1801 QUAIL RUN

    CORDELE, GA 310152096

    Phone: (229) 276-2190

    Fax: (229) 276-3639

    Type: Mailing

  • 415 E 4TH AVE STE B

    CORDELE, GA 310150614

    Phone: (229) 276-2190

    Fax: (229) 276-3639

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2023-02-24 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($91).

Total Amount

$91

General + Research + Ownership

Payments

2

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080617000741IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes31694$0
99213Established patient office or other outpatient visit, 20-29 minutes6250$0
82962Blood glucose (sugar) test performed by hand-held instrument5819$0
83036Hemoglobin a1c level4620$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
View full utilization report →

Insurance plans in this area (ZIP 31015)

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Reviews

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Frequently asked questions

Can I verify KEVIN M HOLLOWAY (MD) with an NPI only?
You can start verification with NPI 1114107810 for KEVIN M HOLLOWAY (MD), then check state licensing separately.
Can I rely on KEVIN M HOLLOWAY (MD) being an active provider?
As of the registry snapshot, KEVIN M HOLLOWAY (MD) is marked active.
What healthcare role does KEVIN M HOLLOWAY (MD) hold?
Scheduling teams often label KEVIN M HOLLOWAY (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KEVIN M HOLLOWAY (MD) based?
KEVIN M HOLLOWAY (MD) is tied to Cordele, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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