Dr Jacob Harvey Holley Iii, MD is a medicare enrolled "General Practice" physician in Donalsonville, Georgia. His current practice location is
214 Cherry St, Donalsonville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 524-2232.
Dr Jacob Harvey Holley Iii is licensed to practice in Georgia (license number 81053) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962842013.
Physician's Profile
Full Name | Dr Jacob Harvey Holley Iii |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 214 Cherry St, Donalsonville, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jacob Harvey Holley Iii attended and graduated from in
NPI Data:
- NPI Number: 1962842013
- Provider Enumeration Date: 07/02/2013
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jacob Harvey Holley Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962842013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 36063 (South Carolina) | Secondary |
208D00000X | General Practice | 81053 (Georgia) | Primary |
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. Dr Jacob Harvey Holley Iii 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 Address | Practice Location Address |
Dr Jacob Harvey Holley Iii, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (229) 254-1857 | Dr Jacob Harvey Holley Iii, MD 214 Cherry St, Donalsonville, GA 39845-1616 Ph: (229) 524-2232 |
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