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

Mrs. Ivey Ellis Holt, PA

Individual provider Surgical Physician Assistant · NPI 1831430032

Mrs. Ivey Ellis Holt, PA is a Physician Assistant in Columbus, Georgia. Qualified in 2012, 14 years ago. Practices with Hughston Clinic PC, a 112-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone: (706) 324-6661
Fax: (706) 494-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 512 N Shady Ln, Dothan, AL 36303-2991 — (334) 699-5747
  • 107 Calumet Center Rd, Lagrange, GA 30241-6705 — (706) 884-3274
  • 100 N Macon St, Macon, GA 31210-6563 — (478) 200-6970
  • 522 N Center St, Thomaston, GA 30286-3695 — (706) 646-4371
  • 4340 Kings Way, Valdosta, GA 31602-6921 — (229) 333-9736

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 006742 (GA)

Record details

NPI number1831430032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 13, 2013
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Hughston Clinic Pc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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