Individual Healthcare Provider
Holly Renee Clemons, M.D.
Provider's NPPES record last updated: December 11, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1528354560
- Primary Specialty
- Family Medicine
- Practice Location
- Sullivan, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
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.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (Illinois)
- 036160654
- Family Medicine (Georgia)
- 71921
- Family Medicine (Arizona)
- 68597
Practice Locations
Practice Location
7 Hawthorne Ln Ste A
Sullivan, Illinois 61951-9490
Phone: (217) 728-8441
Additional Practice Location
21300 N John Wayne Pkwy Ste 115
Maricopa, Arizona 85139-8978
Phone: (520) 426-3424
Additional Practice Location
777 Hemlock St
Macon, Georgia 31201-2102
Phone: (478) 633-5500
Fax: (478) 784-5496
Record Information
- Enumeration Date
- June 28, 2011
- Provider's NPPES Record Last Updated
- December 11, 2023
- Certification Date
- December 11, 2023
- NPISignal NPPES Dataset
- August 2026
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