MRS. MICHELLE N HOLDER
NPI 1437614013
Nurse Practitioner - Acute Care in Fayetteville, GA
About Mrs. Michelle N Holder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELLE N HOLDER (NPI 1437614013) is an individual acute care provider in Fayetteville, Georgia, licensed in Georgia (172059) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, Inc, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Mrs. Michelle N 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeastern Regional Medical Center, Inc
Acute Care Hospitals · Newnan, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michelle Holder's NPI number?
The NPI number for Michelle Holder is 1437614013. It was assigned to this individual provider in the NPPES registry on February 7, 2019.
Where is Michelle Holder located?
Michelle Holder practices at 249 Otter Cir, Fayetteville, GA 30215. The listed phone number is (404) 539-7411.
What is Michelle Holder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Michelle Holder enrolled in Medicare?
Yes. Michelle 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.
Is Michelle Holder affiliated with any hospitals?
According to CMS data, Michelle Holder is affiliated with Southeastern Regional Medical Center, Inc.
When was this NPI record last updated?
The NPPES record for Michelle Holder was last updated on February 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Michelle N Holder · NPI 1437614013
Acute Care physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since February 7, 2019.
## Identity
- **NPI:** 1437614013 (Entity type: Individual)
- **Enumerated:** February 7, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 172059 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 249 OTTER CIR, Fayetteville, GA 30215-5264
- **Phone:** (404) 539-7411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 7, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1437614013) · Data from the CMS NPPES public registry.