MEDICARE: MR. JEFFREY DIXON HOLLIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	38253	TN
2	208600000X	Surgery Physician	38253	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7824568	OTHER	TN	AETNA
2	2241512	OTHER	TN	FIRST HEALTH
3	9466849	OTHER	TN	CIGNA
4	I7522	OTHER	TN	HEALTHSPRING
5	4087130	OTHER	TN	BCBS
6	953233	OTHER	TN	USA MANAGED CARE

General Provider Information

NPI Number	:	1043299464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY DIXON HOLLIS MD

Provider Business Mailing Address
First Line	:	300 STEAM PLANT RD STE 470
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-3066
Country	:	US
Telephone Number	:	615-328-3771
Fax Number	:	615-328-3775

Provider Business Practice Location Address
First Line	:	300 STEAM PLANT RD
Second Line	:	STE. 470
City	:	GALLATIN
State	:	TN
Zip	:	37066-3032
Country	:	US
Telephone Number	:	615-328-3730
Fax Number	:	615-328-3775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	05/07/2025

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Directions to “ MR. JEFFREY DIXON HOLLIS MD” Practice Location

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