Active NPI
Jamila A Holmes, MS, PT
- Pediatric Physical Therapist
- Decatur, GA
National Provider Identifier
1598832883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 6894
- Practice address
- 5065 Galleon Xing
Decatur, GA 30035-3054 - Phone
- (678) 878-5396
- Fax
- (770) 808-4438
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 6894 | GA | Primary |
Addresses
Primary practice location
5065 Galleon Xing
Decatur, GA 30035-3054
Mailing address
PO Box 4131
Atlanta, GA 30302-4131
Phone (678) 878-5396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000884749F | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Ortho LN
Atlanta, GA 30329-2315
Phone (404) 778-3350
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Georgia Luna Care Physical Therapy LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapy Clinic/Center
- Johns Creek, GA
- NPI 1275931768
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1598832883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4131",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303024131",
"telephone_number": "678-878-5396",
"fax_number": "770-808-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5065 GALLEON XING",
"city": "DECATUR",
"state": "GA",
"postal_code": "300353054",
"telephone_number": "678-878-5396",
"fax_number": "770-808-4438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JAMILA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "6894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000884749F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.