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CHARISSE HOLMES
NPI 1073084877
Nurse Practitioner - Family in Dublin, GA

Active since December 06, 2018PECOS Enrolled
2400 BELLEVUE RD STE 2, DUBLIN, GA 31021(478) 272-8580 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Dec 6, 2018 (2 updates tracked since 2018).

About Charisse Holmes NPPES

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

CHARISSE HOLMES (NPI 1073084877) is an individual family provider in Dublin, Georgia, licensed in Georgia (RN216446) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073084877
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARISSE HOLMES
Location Address2400 BELLEVUE RD STE 2Dublin, GA 31021-2885
Mailing Address2400 Bellevue Rd Ste 2Dublin, GA 31021-2885 · (478) 272-8580
Phone(478) 272-8580
Sole ProprietorNo
Enumeration DateDecember 6, 2018
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1073084877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN216446
2400 BELLEVUE RD STE 2, Dublin, GA 31021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charisse Holmes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Charisse Holmes's NPI number?

The NPI number for Charisse Holmes is 1073084877. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Charisse Holmes located?

Charisse Holmes practices at 2400 Bellevue Rd Ste 2, Dublin, GA 31021. The listed phone number is (478) 272-8580.

What is Charisse Holmes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charisse Holmes enrolled in Medicare?

Yes. Charisse Holmes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charisse Holmes was last updated on March 18, 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.