Individual provider Active NPI

Gina Gail Holecek, MPH, OTRL

  • Driving and Community Mobility Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1174658587
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
License
002608 Issued in GA
Practice address
1441 Clifton Rd NE
Atlanta, GA 30322-1004
Phone
(404) 712-0907
Fax
(404) 712-5974
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002608 GA
Driving and Community Mobility Occupational Therapist 225XR0403X 002608 GA Primary

Addresses

Primary practice location

1441 Clifton Rd NE
Atlanta, GA 30322-1004

Mailing address

1161 Balsam Dr
Decatur, GA 30033-2901
Phone (404) 321-9303

Other names 1

  • Gina Gail Burris Former 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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174658587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 BALSAM DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332901",
            "telephone_number": "404-321-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221004",
            "telephone_number": "404-712-0907",
            "fax_number": "404-712-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLECEK",
        "first_name": "GINA",
        "middle_name": "GAIL",
        "credential": "MPH, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "002608",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "GA",
            "license": "002608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BURRIS",
            "middle_name": "GAIL",
            "credential": "MPH, OTRL",
            "code": "1",
            "type": "Former 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 Sep 11, 2025; 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.