Bianca Justine Holmes, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN228295 Issued in GA

Practice address

623 Dunkirk CT
Lawrenceville, GA 30046-2868

Phone

(706) 289-1512

NPI assigned

Feb 19, 2025

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  Medicare reassignment NPD

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1841095155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 DUNKIRK CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462868",
            "telephone_number": "706-289-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 DUNKIRK CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462868",
            "telephone_number": "706-289-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BIANCA",
        "middle_name": "JUSTINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN228295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikiyah Holliday
• Crichton Anne Hollingsworth, NP-C
• Zachary Hollis, DPT
• Wakenia Shawnee Hollman
• Ashley Holmes, CCC-SLP
• Erica Oshea Holmes, NP
• Jaylen Leandre Holmes
• Katashia Hicks Holmes
• Norma Holmes
• Tierra Holmes, OTR

• Advanced Practice Midwife in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.