MARIA JANE HOLDER NP
NPI 1083064737
Nurse Practitioner - Psychiatric/Mental Health in Canton, GA

Active since June 14, 2016PECOS Enrolled
2205 RIVERSTONE BLVD STE 205, CANTON, GA 30114(770) 720-5011(770) 345-1088 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2018, Jan 12, 2017, Jun 14, 2016 (3 updates tracked since 2016).

About Maria Jane Holder Np NPPES

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

MARIA JANE HOLDER NP (NPI 1083064737) is an individual psychiatric/mental health provider in Canton, Georgia, licensed in Georgia (RN223280) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083064737
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA JANE HOLDERCredential: NP
Location Address2205 RIVERSTONE BLVD STE 205Canton, GA 30114-5250
Mailing Address2205 Riverstone Blvd Ste 205Canton, GA 30114-5250 · (770) 720-5011 · Fax (770) 345-1088
Fax(770) 345-1088
Sole ProprietorNo
Enumeration DateJune 14, 2016
Last NPPES UpdateDecember 27, 20233 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
NPI 1083064737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN223280
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN223280 (GA), 2001708004NP-PP (OR)
2205 RIVERSTONE BLVD STE 205, Canton, GA 30114

Secondary Practice Locations 3

Location 12215 Cheshire Bridge Rd NEAtlanta, GA 30324-4234 · Phone (404) 541-0944
Location 21515 Village DrCottage Grove, OR 97424-9700 · Phone (541) 767-5200 · Fax (541) 767-5292
Location 3255 Depot St Ste 200Ball Ground, GA 30107-4065 · Phone (678) 648-1756

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maria Jane Holder Np 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 30114 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2205 RIVERSTONE BLVD STE 205
CANTON, GA 30114
Family Medicine (Addiction Medicine)
2205 RIVERSTONE BLVD STE 205
CANTON, GA 30114

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 Maria Holder's NPI number?

The NPI number for Maria Holder is 1083064737. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Maria Holder located?

Maria Holder practices at 2205 Riverstone Blvd Ste 205, Canton, GA 30114. The listed phone number is (770) 720-5011.

What is Maria Holder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Maria Holder enrolled in Medicare?

Yes. Maria Holder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maria Holder was last updated on December 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.