HOLON HEALTH GREAT LAKES, P.C. – NPI #1194414805
Family Medicine

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.

HOLON HEALTH GREAT LAKES, P.C. is a provider located in GLEN ALLEN, VA. NPPES has assigned the NPI number 1194414805 to HOLON HEALTH GREAT LAKES, P.C. on May 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 7 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Mar 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLON HEALTH GREAT LAKES, P.C. below.

NPI Profile for
HOLON HEALTH GREAT LAKES, P.C.

NPI Number
1194414805
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOLON HEALTH GREAT LAKES, P.C.
Primary location
11551 NUCKOLS RD STE R
GLEN ALLEN, VA 23059-5565
Phone: (877) 465-6650 Fax: (804) 294-2775
7 Other location(s):
4539 N 22nd St Ste N
Phoenix, AZ 85016-4639
Phone: (877) 465-6650
Fax: (804) 924-2775
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone: (877) 465-6650
Fax: (804) 294-2775
2222 W Grand River Ave Ste A
Okemos, MI 48864-1604
Phone: (877) 465-6650
Fax: (804) 294-2775
117 S Lexington St Ste 100
Harrisonville, MO 64701-2444
Phone: (877) 465-6650
Fax: (804) 294-2775
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone: (877) 465-6650
Fax: (804) 294-2775
1209 Mountain Road Pl NE Ste N
Albuquerque, NM 87110-7845
Phone: (877) 465-6650
Fax: (804) 294-2775
116 Agnes Rd Ste 200
Knoxville, TN 37919-6306
Phone: (877) 465-6650
Fax: (804) 294-2775
Mailing address
3540 PUMP RD # 1188
RICHMOND, VA 23233-1115
Phone: (877) 754-4694 Fax: (804) 294-2775
Organization Subpart
No
Authorized Official
JASON HERZOG
CEO
Phone: (877) 754-4694
Updated
Certification Date
Mar 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.