Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104069517 Individual Practitioner Female Practitioner

Taina S. Holly , LPN

Licensed Practical Nurse • Riverdale, GA

Professional Overview & Biography Verified Profile Summary

Taina Holly, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Riverdale, GA. Practice services are available at 1234 ELGIN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 Elgin Way

Riverdale, GA 30296

Telephone 7706291565

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Riverdale, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Riverdale, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN061999

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ga Office Of Reg. Service
031012479 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Melissa Campbell

Behavior Technician

NPI 1235027483

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2009

Registered at 1234 ELGIN WAY, RIVERDALE, GA 30296 (Tel: 7706291565)

📍
Updated Business Mailing Address April 15, 2009

Registered at 1234 ELGIN WAY, RIVERDALE, GA 30296 (Tel: 7706291565)

👤
Provider Name / Credentials Updated April 15, 2009

Recorded as TAINA HOLLY, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2009

Licensed Practical Nurse (License #LPN061999 in GA)

🟢
Initial NPI Registration & Enumeration April 15, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104069517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2009
Last Update: April 15, 2009
Sole Proprietor: No

Mailing Address

1234 Elgin Way

Riverdale, GA 30296

Phone: 7706291565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.