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GRACE ROBERTS HOLCOMB NP
NPI 1962117309
Nurse Practitioner - Family in Dalton, GA

Active since January 19, 2023PECOS Enrolled
1504 N THORNTON AVE STE 103, DALTON, GA 30720(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Feb 16, 2023, Jan 19, 2023 (3 updates tracked since 2023).

About Grace Roberts Holcomb Np NPPES

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

GRACE ROBERTS HOLCOMB NP (NPI 1962117309) is an individual family provider in Dalton, Georgia, licensed in Georgia (APRN-NP260465) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962117309
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE ROBERTS HOLCOMBCredential: NP
Location Address1504 N THORNTON AVE STE 103Dalton, GA 30720-8394
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Fax(770) 962-3643
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 19, 2023
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1962117309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · APRN-NP260465✔ Licensed in GA · RN260465
1504 N THORNTON AVE STE 103, Dalton, GA 30720
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Roberts Holcomb Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002346319
PECOS Enrollment IDI20250214002598
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 4

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

DR. ANDREW JUSTIN KRITZER FNP-C
Nurse Practitioner
1504 N THORNTON AVE STE 103
DALTON, GA 30720
Whitfield County (770) 962-3642
DR. AMIT PATEL M.D.
Pain Medicine (Interventional Pain Medicine)
1504 N THORNTON AVE STE 103
DALTON, GA 30720
Whitfield County (770) 962-3642
DR. RICHARD M BELLE ISLE M.D.
Pain Medicine (Interventional Pain Medicine)
1504 N THORNTON AVE STE 103
DALTON, GA 30720
Whitfield County (770) 962-3642
GEORGIA PAIN AND WELLNESS CENTER
Pain Medicine (Interventional Pain Medicine)
1504 N THORNTON AVE STE 103
DALTON, GA 30720
Whitfield County (770) 962-3642

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 Grace Holcomb's NPI number?

The NPI number for Grace Holcomb is 1962117309. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Grace Holcomb located?

Grace Holcomb practices at 1504 N Thornton Ave Ste 103, Dalton, GA 30720. The listed phone number is (770) 962-3642.

What is Grace Holcomb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace Holcomb enrolled in Medicare?

Yes. Grace Holcomb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Holcomb was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.