ANGELA J HOLDER
NPI 1114424124
Family Medicine in Decatur, GA

Q: 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.

Q: What is Angela Holder's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Angela Holder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ponce Preventive Care LLC

0.1 mi

Primary Care

315 W PONCE DE LEON AVE STE 110
Decatur, GA 30030

Reassigned Medicare billing, Georgia enrollment
13 clinicians in this Medicare group

NPI 1477865681 (404) 537-2521

The Southeast Permanente Medical Group

6.8 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Wellstar Medical Group, LLC

11 mi

Family Medicine

2850 PACES FERRY RD SE
Atlanta, GA 30339

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1710319462 (678) 556-4950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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