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DR. ANDRE LAVAR HOLDER MD
NPI 1033381900
Internal Medicine - Critical Care Medicine in Atlanta, GA

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
80 JESSE HILL JR DR SE RM 2D012, ATLANTA, GA 30303(404) 616-0823 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andre Lavar Holder Md NPPES

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

DR. ANDRE LAVAR HOLDER MD (NPI 1033381900) is an individual critical care medicine provider in Atlanta, Georgia, licensed in Georgia (71809) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and maintains a secondary practice location in Cordele.

NPPES Registry Identity

NPI1033381900
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ANDRE LAVAR HOLDERCredential: MD
Location Address80 JESSE HILL JR DR SE RM 2D012Atlanta, GA 30303-3031
Mailing Address80 Jesse Hill Jr Dr Se Rm 2d012Atlanta, GA 30303-3031 · (404) 616-0823
Phone(404) 616-0823
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2004
Enumeration DateMarch 31, 2008
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1033381900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in GA · 71809
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
80 JESSE HILL JR DR SE RM 2D012, Atlanta, GA 30303
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Secondary Practice Location 1

Location 1902 N 7th St # 100Cordele, GA 31015-3234 · Phone (229) 276-3100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andre Lavar Holder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052595121
PECOS Enrollment IDI20141104002312
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Holder's NPI number?

The NPI number for Andre Holder is 1033381900. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Andre Holder located?

Andre Holder practices at 80 Jesse Hill Jr Dr SE Rm 2d012, Atlanta, GA 30303. The listed phone number is (404) 616-0823.

What is Andre Holder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Andre Holder enrolled in Medicare?

Yes. Andre Holder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andre Holder affiliated with any hospitals?

According to CMS data, Andre Holder is affiliated with Emory University Hospital Midtown and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andre Holder was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.