DR. NATHAN LE HOLTERMAN MD
NPI 1447716550
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since February 13, 2019PECOS Enrolled
1817 CLIFTON RD NE, ATLANTA, GA 30329(404) 712-6331 Get Directions Write a Review

NPPES record last updated: June 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2024, Jun 11, 2021, Feb 13, 2019 (3 updates tracked since 2019).

About Dr. Nathan Le Holterman Md NPPES

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

DR. NATHAN LE HOLTERMAN MD (NPI 1447716550) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447716550
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NATHAN LE HOLTERMANCredential: MD
Location Address1817 CLIFTON RD NEAtlanta, GA 30329-4021
Mailing Address1817 Clifton Rd NeAtlanta, GA 30329-4021 · (404) 712-6331
Sole ProprietorNo
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJune 30, 20243 updates tracked since enumeration
NPPES CertifiedJune 30, 2024
NPI 1447716550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
1817 CLIFTON RD NE, Atlanta, GA 30329

Secondary Practice Locations 2

Location 1598 Geiger BlvdBeaufort, SC 29904 · Phone (843) 228-7424
Location 2Navy Medical Center Portsmouth, 620 John Paul Jones CirclePortsmouth, VA 23708 · Phone (757) 953-2958

Other Identifiers 1

Other1447716550Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Nathan Le Holterman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1817 CLIFTON RD NE
ATLANTA, GA 30329

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 Nathan Holterman's NPI number?

The NPI number for Nathan Holterman is 1447716550. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Nathan Holterman located?

Nathan Holterman practices at 1817 Clifton Rd NE, Atlanta, GA 30329. The listed phone number is (404) 712-6331.

What is Nathan Holterman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Holterman enrolled in Medicare?

Yes. Nathan Holterman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Holterman was last updated on June 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.