JOANNA B HOLDER PA-C
NPI 1487164596
Physician Assistant - Medical in Gainesville, GA

Q: What is Joanna Holder's NPI number?

The NPI number for Joanna Holder is 1487164596. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Q: What is Joanna Holder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Joanna Holder was last updated on October 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment

663 LANIER PARK DR, GAINESVILLE, GA 30501(678) 450-0202(678) 971-6065 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Joanna B Holder Pa-c NPPES

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

JOANNA B HOLDER PA-C (NPI 1487164596) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (99999) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Children's Healthcare Of Atlanta At Egleston, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487164596

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJOANNA B HOLDERCredential: PA-C

Location Address663 LANIER PARK DRGainesville, GA 30501-2059

Mailing Address663 Lanier Park DrGainesville, GA 30501-2059 · (678) 450-0202

Phone(678) 450-0202

Fax(678) 971-6065

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 3, 2017

✔ NPI 1487164596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 99999

663 LANIER PARK DR, Gainesville, GA 30501

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Other Identifiers 1

Other6784500202Phone

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

Joanna B Holder Pa-c 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 ID2163782731

PECOS Enrollment IDI20180131001026

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Children's Healthcare Of Atlanta At Egleston

Childrens · Atlanta, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number113300

Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

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Other Providers at the Same Location NPPES 20

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

MR. VIKRAMJEET M KAKADE MD

Internal Medicine (Nephrology)