Procare Network

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PROCARE NETWORK

Practice address

175 Carnegie PL Ste 113
Fayetteville, GA 30214-7903

Phone

(888) 391-4999

Fax

(470) 935-2626

NPI assigned

Jul 29, 2024

Last updated

Aug 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kalato Holts, NPNPI 1336501436

Title

Nurse Practitioner

Phone

(888) 391-4999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, LA, NY3 enrollments

Enrollment records 3

Locations

Practitioners 2

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.

• Kalato Lehue Holts, FNP

  • Nurse Practitioner
  • Fayetteville, GA
  • NPI 1336501436

  NY

  Medicare reassignment NPD Authorized official
• Carlnetta Rabb, FNP

  • Family Nurse Practitioner
  • Marrero, LA
  • NPI 1306364245
  Medicare reassignment NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1508695495",
    "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": "888-391-4999",
            "fax_number": "470-935-2626"
        },
        {
            "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": "888-391-4999",
            "fax_number": "470-935-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "HOLTS",
        "authorized_official_first_name": "KALATO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "888-391-4999",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Aiesha Printup, FNP-BC
• Deidra Miesha Printup, FNP-C
• Priority Hospice LLC (Pathlight Hospice)
• Privia Medical Group of Georgia LLC
• Privia Pediatric Medical Group of Georgia LLC
• Production Physicos,LLC
• Professional Associates Health Care of Georgia
• Professional Health Access LLC
• Professional Nursing Associates of Georgia LLC
• Progressive Anesthesia LLC

• Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.