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

Jennifer Samples Holl, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1336460922

Jennifer Samples Holl, MD is a Colorectal Surgery (Proctology) in Atlanta, Georgia. Qualified in 2010, 16 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia and North Carolina.

Years since qualifying
16
Licensed in
FL, GA, NC
In the registry since
2010
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

5667 Peachtree Dunwoody Rd
Atlanta, GA 30342-1725
Phone: (404) 252-5669
Fax: (404) 252-9473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 103860 (GA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence ME162888 (FL)
Surgery Physician Taxonomy 208600000X · Licence 2018-01719 (NC)

Record details

NPI number1336460922
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2010
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address5667 Peachtree Dunwoody Rd, Atlanta, GA 30342-1725

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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