Monica Ellen Holzwarth, M.D

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

037570 Issued in GA

Practice address

1163 Johnson Ferry Rd
Suite 170
Marietta, GA 30068-2764

Phone

(770) 971-5325

Fax

(770) 971-3093

NPI assigned

Aug 30, 2005

Reactivated

Mar 31, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric and Adolescent Healthcare,PC

  • Pediatric Adolescent Medicine Physician
  • Marietta, GA
  • NPI 1922268838
  NPD (past) Authorized official

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1699768168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 JOHNSON FERRY RD",
            "address_2": "SUITE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682764",
            "telephone_number": "770-971-5325",
            "fax_number": "770-971-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 JOHNSON FERRY RD",
            "address_2": "SUITE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682764",
            "telephone_number": "770-971-5325",
            "fax_number": "770-971-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZWARTH",
        "first_name": "MONICA",
        "middle_name": "ELLEN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2019-06-18",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "037570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turquoise Alexis Holmes, FNP-C
• Jaala Holt, RBT
• Margaret Courtney Holtz, M.D.
• Noel Holtz, M.D.
• Candi Holyfield, FNP-C
• Home Health Agency of Georgia LLC
• Home Health Agency of Georgia, LLC
• Caroline Elizabeth Homer, OT R/L
• Brianna Danielle Homsey, DPT
• Kendra Kay Honea, NP

• Pediatric Adolescent Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.