NPI age
17 years
Enumerated 2009-04-15
● Active
Type 1 · Individual
MRS. Taina S. Holly, LPN
Holly is 1 of 10 licensed practical nurse providers in Riverdale and 1 of 1344 in Georgia.
Primary specialty
Licensed Practical Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-04-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1344 active licensed practical nurse providers in Georgia.
NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Practice location
1234 Elgin Way
Riverdale, GA 30296
Mailing address
1234 Elgin Way
Riverdale, GA 30296
Specialties
-
Licensed Practical Nurse PrimaryAn 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 031012479 | GA OFFICE OF REG. SERVICE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 1 new licensed practical nurse provider has been added in Riverdale in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.