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ANGELA J HOLDER
NPI 1114424124
Family Medicine in Decatur, GA

Active since April 07, 2018PECOS EnrolledAccepts Medicare Assignment
402 W PONCE DE LEON AVE, DECATUR, GA 30030(404) 537-2521(404) 778-6901 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2021, Jun 30, 2021, Sep 13, 2018 and 3 more (6 updates tracked since 2018).

About Angela J Holder NPPES

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

ANGELA J HOLDER (NPI 1114424124) is an individual family medicine provider in Decatur, Georgia, licensed in Georgia (88870) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114424124
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANGELA J HOLDER
Location Address402 W PONCE DE LEON AVEDecatur, GA 30030-2443
Mailing Address402 W Ponce De Leon AveDecatur, GA 30030-2443
Phone(404) 537-2521
Fax(404) 778-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 7, 2018
Last NPPES UpdateJuly 20, 20216 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1114424124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 88870
Definition
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.
402 W PONCE DE LEON AVE, Decatur, GA 30030
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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 and accepts Medicare assignment

Angela J Holder 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 ID8527316603
PECOS Enrollment IDI20210825003262
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 30030 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 6

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

WHOLE FAMILY MEDICINE, LLC
Family Medicine
402 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 377-9010
SUSAN LANEY CASTLE FNP-C
Family Medicine
402 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 377-9010
DR. EMILY JANE WALKER MD
Family Medicine
402 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 537-2521
MARION K OWEN M.D.
Family Medicine
402 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 377-9010
DAVID OROZCO RD
Dietitian, Registered
402 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 228-9704
MORGAN BROOKE LEWALLEN MSN, FNP-C
Nurse Practitioner (Family)
402 W PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 537-2521

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 Angela Holder's NPI number?

The NPI number for Angela Holder is 1114424124. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Angela Holder located?

Angela Holder practices at 402 W Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 537-2521.

What is Angela Holder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angela Holder enrolled in Medicare?

Yes. Angela 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.

When was this NPI record last updated?

The NPPES record for Angela Holder was last updated on July 20, 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.