Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Eric Ronald Holt, MD

Individual provider Hospitalist Physician · NPI 1194831636

Jacob Eric Ronald Holt, MD is a Family Practice in Johnson City, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2001, 25 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Colorado and Tennessee.

Years since qualifying
25
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
CO, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

119 Boone Ridge Dr Ste 201
Johnson City, TN 37615-4998
Phone: (423) 282-1480
Fax: (423) 928-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42090 (TN)
Hospitalist Physician Taxonomy 208M00000X · Licence 42090 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 42866 (CO)

Record details

NPI number1194831636
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESMay 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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