Individual provider Active NPI

Michael T Holvick, DPM

  • Podiatrist
  • Atlanta, GA
National Provider Identifier
1790965796
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00821 Issued in GA
Practice address
1729 Dunwoody PL NE
Atlanta, GA 30324-2703
Phone
(404) 895-8474
Fax
(404) 895-8474
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00821 GA Primary

Addresses

Primary practice location

1729 Dunwoody PL NE
Atlanta, GA 30324-2703

Mailing address

1729 Dunwoody PL NE
Atlanta, GA 30324-2703
Phone (404) 895-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605000198 GA Order and Referring Only - PodiatryPractitioner - Podiatry 9234406760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00821GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T Holvick DPM PC Podiatrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1790965796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 DUNWOODY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303242703",
            "telephone_number": "404-895-8474",
            "fax_number": "404-895-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 DUNWOODY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303242703",
            "telephone_number": "404-895-8474",
            "fax_number": "404-895-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLVICK",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "00821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.