AUDLINE MARIA HOLMES PMHNP
NPI 1336740398
Nurse Practitioner - Psychiatric/Mental Health in Roswell, GA

Q: What is Audline Holmes's NPI number?

The NPI number for Audline Holmes is 1336740398. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Q: What is Audline Holmes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audline Holmes was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 November 05, 2020PECOS EnrolledAccepts Medicare Assignment

11111 HOUZE RD STE 225, ROSWELL, GA 30076(770) 603-0123(770) 910-9919 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Audline Maria Holmes Pmhnp NPPES

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

AUDLINE MARIA HOLMES PMHNP (NPI 1336740398) is an individual psychiatric/mental health provider in Roswell, Georgia, licensed in Georgia (APRN-NP236320) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2019).

NPPES Registry Identity

NPI1336740398

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAUDLINE MARIA HOLMESCredential: PMHNP

Location Address11111 HOUZE RD STE 225Roswell, GA 30076-5618

Mailing Address11111 Houze Rd Ste 225Roswell, GA 30076-5618 · (770) 603-0123 · Fax (770) 910-9919

Phone(770) 603-0123

Fax(770) 910-9919

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019

Enumeration DateNovember 5, 2020

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1336740398 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 · APRN-NP236320

Also ListedRegistered NurseTaxonomy 163W00000X · License RN236320 (GA)

11111 HOUZE RD STE 225, Roswell, GA 30076

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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

Audline Maria Holmes Pmhnp 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 ID5092124214

PECOS Enrollment IDI20210429000542

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 Reassignment

Medicare enrollment records show Audline Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC

38 mi

Psychiatry

250 CORPORATE CENTER CT
Stockbridge, GA 30281

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

NPI 1881990869 (770) 389-8100

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 30076 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 15

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

MR. CHRISTIAN LAMAR KING LPC

Counselor (Professional)