PASSPORT HEALTH HOLDINGS, LLC
NPI 1003261629
Community Health Worker in Roswell, GA

Active since May 02, 2016
576 COLONIAL PARK DR, SUITE 100, ROSWELL, GA 30075(844) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Passport Health Holdings, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASSPORT HEALTH HOLDINGS, LLC (NPI 1003261629) is a healthcare organization registered as a community health worker in Roswell, Georgia and active in the NPI registry since May 2016. The organization lists Paul Fishburn, Coo, as its authorized official.

NPPES Registry Identity

NPI1003261629
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NamePASSPORT HEALTH HOLDINGS, LLC
Location Address576 COLONIAL PARK DR, SUITE 100Roswell, GA 30075
Mailing Address4343 East Outlier Blv., Suite 100wPhoenix, AZ 85008-6507 · (844) 358-8648 · Fax (877) 877-6875
Fax(877) 877-6875
Organization SubpartNo
Authorized OfficialPaul FishburnCoo · (480) 646-9020
Enumeration DateMay 2, 2016
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
NPI 1003261629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

576 COLONIAL PARK DR, Roswell, GA 30075

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003261629, enumerated as an "organization" on May 02, 2016.

The provider is located at 576 COLONIAL PARK DR SUITE 100 ROSWELL, GA 30075 and the phone number is (844) 358-8648.

Community Health Worker with taxonomy code 172V00000X.