Individual provider Active NPI

Melissa Janine Holas, D.C. MS, ATC

  • Sports Physician Chiropractor
  • Atlanta, GA
National Provider Identifier
1972648780
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CHIR007519 Issued in GA
Practice address
215 Peachtree St
Atlanta, GA 30303-1723
Phone
(404) 389-0931
Fax
(404) 389-0932
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007519 GA
Sports Physician Chiropractor 111NS0005X CHIR007519 GA Primary

Addresses

Primary practice location

215 Peachtree St
Atlanta, GA 30303-1723

Mailing address

1101 Augusta Dr SE
Marietta, GA 30067-4448
Phone (770) 517-2240

Other names 1

  • Dr. Missy Holas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007519GAMDChiropractor
CHIR007519GAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Butzin, Matoshko & Associates Chiropractor Past Accepting new patients
Butzin, Matoshko & Associates Chiropractic Clinics PLLC Chiropractor PastSince Jan 21, 2002 Accepting new patients

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1972648780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 AUGUSTA DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674448",
            "telephone_number": "770-517-2240",
            "fax_number": "770-517-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PEACHTREE ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031723",
            "telephone_number": "404-389-0931",
            "fax_number": "404-389-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAS",
        "first_name": "MELISSA",
        "middle_name": "JANINE",
        "name_prefix": "Dr.",
        "credential": "D.C. MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007519",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "CHIR007519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "HOLAS",
            "prefix": "DR.",
            "credential": "DC, MS, ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.