HOLON HEALTH GREAT LAKES, P.C.
HOLON HEALTH GREAT LAKES, P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194414805, based in Glen Allen, VA. The organization lists 7 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 11551 NUCKOLS RD STE R, Glen Allen, VA 23059. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1759742919
Enrolled in Medicare 10 times, across 10 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Indiana | O20230803002746 | Part B Supplier - Clinic/group Practice |
| Arizona | O20240104004368 | Part B Supplier - Clinic/group Practice |
| Virginia | O20240916003555 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20250218000482 | Part B Supplier - Clinic/group Practice |
| Missouri | O20250418000541 | Part B Supplier - Clinic/group Practice |
| New Mexico | O20250529003807 | Part B Supplier - Clinic/group Practice |
| Michigan | O20250626003983 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20250717002695 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20251114001448 | Part B Supplier - Clinic/group Practice |
| Massachusetts | O20260309002997 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 10 separate enrolment records across 10 states (IN, AZ, VA, TN, MO, NM, MI, KY, NC, MA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | primary |
| 171M00000X | Case Manager/Care Coordinator | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician Addiction Medicine | — | — | |
| 2084P0802X | Addiction Psychiatry Physician Addiction Psychiatry | — | — | |
| 103TC0700X | Clinical Psychologist Clinical | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1194414805 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 8, 2023 |
| Last updated | Mar 18, 2026 |
| Status | Active |
| Practice address |
11551 NUCKOLS RD STE R Glen Allen, VA 23059 (877) 465-6650 Fax (804) 294-2775 |
| Mailing address |
3540 PUMP RD # 1188 Richmond, VA 23233 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 9 | 4 | 4 | 1 | 4 | 8 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 8 | 1 | 8 | 8 | 0 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.