1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Preventive Medicine
  6. NPI Profile

PASSPORT HEALTH HOLDINGS LLC
NPI 1689029134
Preventive Medicine - Public Health & General Preventive Medicine in Lawrenceville, GA

Active since May 03, 2016
5415 SUGARLOAF PKWY, SUITE 1107, LAWRENCEVILLE, GA 30043(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 09, 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 1689029134) is a healthcare organization registered as a public health & general preventive medicine in Lawrenceville, 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

NPI1689029134
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NamePASSPORT HEALTH HOLDINGS LLC
Location Address5415 SUGARLOAF PKWY, SUITE 1107Lawrenceville, GA 30043-7832
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 3, 2016
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1689029134 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.
5415 SUGARLOAF PKWY, Lawrenceville, GA 30043
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 3

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

MRINALI K SWAMY
Adult Companion
5415 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30043
Gwinnett County (881) 577-0545
CVC INC
Hearing Instrument Specialist
5415 SUGARLOAF PKWY, SUITE 1103
LAWRENCEVILLE, GA 30043
Gwinnett County (678) 226-4322
JADA JEZEL JORDAN
Clinic/Center (Health Service)
5415 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30043
Gwinnett County (561) 989-4403

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 1689029134. It was assigned to this organization in the NPPES registry on May 3, 2016.

Where is Passport Health Holdings LLC located?

Passport Health Holdings LLC is located at 5415 Sugarloaf Pkwy Suite 1107, Lawrenceville, GA 30043. 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.