Karissa Breanna Michelle Holcomb, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP001315 Issued in GA

Practice address

2659 Abutment Rd
Dalton, GA 30721-4887

Phone

(706) 532-6700

Fax

(706) 532-6750

NPI assigned

Mar 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Premise Health of Georgia Medical PC

  dba Shaw Family Health Center

  • Multi-Specialty Clinic/Center
  • Dalton, GA
  • NPI 1588128656
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1942901061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 ABUTMENT RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214887",
            "telephone_number": "706-532-6700",
            "fax_number": "706-532-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 ABUTMENT RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214887",
            "telephone_number": "706-532-6700",
            "fax_number": "706-532-6750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 W Walnut Ave Ste 2-309",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307203984",
            "country_code": "US",
            "telephone_number": "423-269-2255",
            "fax_number": "888-698-8617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Martin Luther King Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022571",
            "country_code": "US",
            "telephone_number": "423-269-2255",
            "fax_number": "888-698-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "KARISSA",
        "middle_name": "BREANNA MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33199",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Hobbs, PHARMD
• Linda Faye Hobbs, C.R.N.A.
• Fred Barry Hodges III, MD
• Sonia Lefreda Hoffman, APRN
• Grace Roberts Holcomb, NP
• Sara Holcomb, FNP
• Deirdre Anne Holden, RN
• Oscar Holliday
• Shawn Holsonback, DO
• Home Health Care Rentals Inc

• Family Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.