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PASSPORT HEALTH HOLDINGS LLC
NPI 1275988891
Preventive Medicine - Public Health & General Preventive Medicine in Decatur, GA

Active since May 02, 2016
315 W. PONCE DE LEON AVENUE, SUITE 585, DECATUR, GA 30030(877) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Passport Health Holdings Llc NPPES

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

PASSPORT HEALTH HOLDINGS LLC (NPI 1275988891) is a healthcare organization registered as a public health & general preventive medicine in Decatur, Georgia and active in the NPI registry since May 2016. The organization lists Paul Fishburn, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1275988891
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NamePASSPORT HEALTH HOLDINGS LLC
Location Address315 W. PONCE DE LEON AVENUE, SUITE 585Decatur, GA 30030-2400
Mailing Address668 N 44th St, Suite 100wPhoenix, AZ 85008-6507 · (877) 358-8648 · Fax (877) 877-6875
Phone(877) 358-8648
Fax(877) 877-6875
Organization SubpartNo
Authorized OfficialPaul FishburnChief Operating Officer · (480) 646-9020
Enumeration DateMay 2, 2016
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1275988891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
315 W. PONCE DE LEON AVENUE, Decatur, GA 30030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Passport Health Holdings LLC's NPI number?

The NPI number for Passport Health Holdings LLC is 1275988891. It was assigned to this organization in the NPPES registry on May 2, 2016.

Where is Passport Health Holdings LLC located?

Passport Health Holdings LLC is located at 315 W. Ponce De Leon Avenue Suite 585, Decatur, GA 30030. The listed phone number is (877) 358-8648.

What is Passport Health Holdings LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Passport Health Holdings LLC was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.