Clarence Anthony Holmes Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011564 Issued in GA

Practice address

3001 Mercer University Dr
Davis Building Suite 106
Atlanta, GA 30341-4115

Phone

(678) 547-6439

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1245826999
  Medicare reassignment NPD
• Mercer Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1477861904
  NPD (past)

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1326457326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLONIAL DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322804",
            "telephone_number": "662-402-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 MERCER UNIVERSITY DR",
            "address_2": "DAVIS BUILDING SUITE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414115",
            "telephone_number": "678-547-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "CLARENCE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avis Gibson Holmes, PMHNP-BC
• Brianna Lee Holmes, PHARMD
• Cherie Nicole Holmes, NP
• Christopher Lewis Holmes, D.C.
• Christy A Holmes
• Deborah Ann Holmes
• Erin Holmes
• Errol Tamarr Holmes, CNMT
• Jamie Holmes, PHARM.D.
• Jason Holmes, M.D.

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.