Individual provider Active NPI

Marvette Holmes, PHARM.D.

  • Clinical Pharmacology Physician
  • Atlanta, GA
National Provider Identifier
1164800645
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pharmacology PhysicianTaxonomy code 208U00000X
License
RPH021185 Issued in GA
Practice address
412 Georgia Ave
Atlanta, GA 30312-3112
Phone
(404) 493-2762
NPI assigned
May 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X RPH021185 GA Primary

Addresses

Primary practice location

412 Georgia Ave
Atlanta, GA 30312-3112

Mailing address

412 Georgia Ave
Atlanta, GA 30312-3112
Phone (404) 493-2762

Other names 1

  • Dr. Chuck Holmes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH021185GAMDClinical Pharmacology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1164800645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 GEORGIA AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123112",
            "telephone_number": "404-493-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 GEORGIA AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123112",
            "telephone_number": "404-493-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MARVETTE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "GA",
            "license": "RPH021185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "HOLMES",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.