Active NPI
Holts Healthcare Pain & Wellness PC
- Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- HOLTS HEALTHCARE PAIN & WELLNESS PC
- Practice address
- 175 Carnegie PL Ste 113
Fayetteville, GA 30214-7903 - Phone
- (470) 402-9409
- NPI assigned
- Feb 26, 2022
- Last updated
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kalato L Holts, FNP
- Title
- Owner
- Phone
- (470) 402-9409
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
175 Carnegie PL Ste 113
Fayetteville, GA 30214-7903
Mailing address
175 Carnegie PL Ste 113
Fayetteville, GA 30214-7903
Phone (770) 376-6160
National Provider Directory
National Provider DirectoryLocations
165 Bradford Sq
Ste A
Fayetteville, GA 30215
Phone (770) 376-6160
175 Carnegie Pl
Ste 113
Fayetteville, GA 30214
Phone (470) 402-9409
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Fayetteville, GA
- NPI 1336501436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1437805504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 CARNEGIE PL STE 113",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147903",
"telephone_number": "770-376-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CARNEGIE PL STE 113",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147903",
"telephone_number": "470-402-9409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLTS HEALTHCARE PAIN & WELLNESS PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-26",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "HOLTS",
"authorized_official_first_name": "KALATO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-402-9409",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.