Eric James Holshouser Jr., PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT015715 Issued in GA

Practice address

540 Lake Center Pkwy
Cumming, GA 30040-7727

Phone

(770) 205-3939

Fax

(770) 205-4994

NPI assigned

Jan 11, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLCGroup PAC ID 6800985417, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Champion Physical Therapy LLC

  • Physical Therapist
  • Cumming, GA
  • NPI 1053509299
  Medicare reassignment Care Compare group NPD
• Sportscare Physical Therapy Inc

  • Physical Therapist
  • Suwanee, GA
  • NPI 1962459883
  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1821749912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LAKE CENTER PKWY STE 107",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407729",
            "telephone_number": "770-205-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LAKE CENTER PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407727",
            "telephone_number": "770-205-3939",
            "fax_number": "770-205-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSHOUSER",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Ann Holcomb, NP
• Holistic Wellness by Keisha
• Aleece Holliman
• Peyton Michael Hollingsworth
• Curtis Jermaine Holmes, D.D.S
• William L Holt, RPH
• Emily Holton, OTR/L
• Katherine G Honeycutt, AUD
• Meeae Hong, DDS
• Ashley Honn

• Orthopedic Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.

Verify at the official NPI Registry.