JADE ELISE HOLLOWAY (OTD, OTR/L) – Occupational Therapist, NPI 1396019402
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
487 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for JADE ELISE HOLLOWAY (OTD, OTR/L)
2734 ESQUIRE WAY
TUCKER, GA 300842815
Phone: (678) 833-6833
Type: Mailing
140 DECATUR ST SE
ATLANTA, GA 303033204
Phone: (678) 833-6833
Fax: (770) 517-5513
Type: Location
2222 SULLIVAN TRL
EASTON, PA 180407958
Phone: (800) 944-9782
Fax: (610) 438-2046
Type: Mailing
756 NEESE RD
WOODSTOCK, GA 301884297
Phone: (770) 517-5513
Fax: (770) 517-5513
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120330000114 | I | Occupational Therapist In Private Practice | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| N E U R O L O G Y | NY | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Hand Surgery, Orthopedic Surgery | GA | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | GA | |
| Family Practice | GA | |
| Physical Therapist In Private Practice | GA |
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