Holon Health Great Lakes, P.C.
NPI 1194414805 · Family Medicine Physician · Glen Allen, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holon Health Great Lakes, P.C. is a Family Medicine Physician organization in Glen Allen, VA (NPI 1194414805).
Provider details
- NPI number
- 1194414805
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Herzog, Ceo(877) 754-4694
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Holon Health
Additional practice locations (7)
- 4539 N 22nd St Ste NPhoenix, AZ 85016-4639Phone: (877) 465-6650Fax: (804) 924-2775
- 5534 Saint Joe RdFort Wayne, IN 46835-3328Phone: (877) 465-6650Fax: (804) 294-2775
- 2222 W Grand River Ave Ste aOkemos, MI 48864-1604Phone: (877) 465-6650Fax: (804) 294-2775
- 117 S Lexington St Ste 100Harrisonville, MO 64701-2444Phone: (877) 465-6650Fax: (804) 294-2775
- 4030 Wake Forest Rd Ste 349Raleigh, NC 27609-0010Phone: (877) 465-6650Fax: (804) 294-2775
- 1209 Mountain Road Pl Ne Ste NAlbuquerque, NM 87110-7845Phone: (877) 465-6650Fax: (804) 294-2775
- 116 Agnes Rd Ste 200Knoxville, TN 37919-6306Phone: (877) 465-6650Fax: (804) 294-2775
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Holon Health Great Lakes, P.C.'s NPI number?
- Holon Health Great Lakes, P.C.'s National Provider Identifier (NPI) is 1194414805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holon Health Great Lakes, P.C.?
- Holon Health Great Lakes, P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Holon Health Great Lakes, P.C. located?
- Holon Health Great Lakes, P.C.'s practice location on file with NPPES is 11551 Nuckols Rd Ste R, Glen Allen, VA 23059-5565.
- What is Holon Health Great Lakes, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Holon Health Great Lakes, P.C. is (877) 465-6650.
- Does Holon Health Great Lakes, P.C. accept Medicare?
- Holon Health Great Lakes, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holon Health Great Lakes, P.C.?
- The authorized official listed on Holon Health Great Lakes, P.C.'s NPPES record is Jason Herzog, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holon Health Great Lakes, P.C.'s NPI active?
- Yes — Holon Health Great Lakes, P.C.'s NPI (1194414805) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.